Individual
DR. PRINCE ANTONIO HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114
(402) 955-5400
Mailing address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-5400
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
30628
NE
Other
Enumeration date
06/28/2012
Last updated
08/28/2019
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