Central Plains Ent, PC

NPI #1245391119 in Omaha, Nebraska

Provider Information

NPI Number: 1245391119
Entity Type: Organization
Organization Name: Central Plains Ent, PC
Primary Specialty: Specialist
Enumeration Date: Dec 13, 2006
Last Updated: Dec 2, 2008

Practice Location

Address: 8005 FARNAM DR
Address 2: SUITE 204
City: Omaha
State: Nebraska
ZIP Code: 68114-3426
Phone: (402) 502-6970

Authorized Official

Name: IRIS J MOORE, MD
Title: PRESIDENT
Phone: (402) 502-6970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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