Organization
OMAHA FACIAL PLASTIC SURGERY PC
Active
Other names
Omaha Face
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY HARBISON (PRACTICE ADMINISTRATOR)
(402) 882-7722
Entity
Organization
Contact information
Practice address
17838 BURKE ST STE 101, OMAHA, NE 68118-2256
(402) 882-7722
(402) 739-8146
Mailing address
17838 BURKE ST STE 101, OMAHA, NE 68118-2256
(402) 882-7722
(402) 739-8146
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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