Omaha Vascular Specialists LLC

NPI #1043290406 in Omaha, Nebraska

Provider Information

NPI Number: 1043290406
Entity Type: Organization
Organization Name: Omaha Vascular Specialists LLC
Primary Specialty: Specialist
Enumeration Date: Jan 20, 2006
Last Updated: May 6, 2008

Practice Location

Address: 8111 DODGE ST
Address 2: SUITE 220
City: Omaha
State: Nebraska
ZIP Code: 68114-4129
Phone: (402) 393-6624

Authorized Official

Name: DR. EUGENE A. WALTKE, MD
Title: PRESIDENT
Phone: (402) 393-6624

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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