Individual
RYAN SHOGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7822 DAVENPORT ST, OMAHA, NE 68114-3629
(402) 391-4855
Mailing address
7822 DAVENPORT ST, OMAHA, NE 68114-3629
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35628
NE
Other
Enumeration date
04/02/2019
Last updated
08/09/2023
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