Organization
PULMONARY MEDICINE INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD S YATES M.D. (M.D./PRESIDENT)
(402) 552-9875
Entity
Organization
Contact information
Practice address
4242 FARNAM ST, #470, OMAHA, NE 68131-2806
(402) 552-9875
(402) 552-9876
Mailing address
4242 FARNAM ST, #470, OMAHA, NE 68131-2806
(402) 552-9875
(402) 552-9876
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025277000
—
NE
01
—
DD7042
RR MEDICARE
NE
Enumeration date
07/12/2006
Last updated
01/03/2008
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