Organization
PEDIATRIC AND MEDICAL GENETICS SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA J HEIDEN (OFFICE MANAGER)
(402) 484-5437
Entity
Organization
Contact information
Practice address
7111 A STREET, SUITE 100, LINCOLN, NE 68510-4283
(402) 484-5437
(402) 484-5438
Mailing address
7111 A STREET, SUITE 100, LINCOLN, NE 68510-4283
(402) 484-5437
(402) 484-5438
Taxonomy
Speciality
Code
Description
License number
State
207SC0300X
Clinical Cytogenetics Physician
Primary
17436
NE
207SG0201X
Clinical Genetics (M.D.) Physician
17436
NE
208000000X
Pediatrics Physician
17436
NE
Other
Enumeration date
03/26/2008
Last updated
02/28/2014
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