Phca LLC

NPI #1679903496 in Omaha, Nebraska

Provider Information

NPI Number: 1679903496
Entity Type: Organization
Organization Name: Phca LLC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 14, 2013
Last Updated: Nov 14, 2013

Practice Location

Address: 12305 GOLD STREET
City: Omaha
State: Nebraska
ZIP Code: 68144-2760
Phone: (402) 330-1176

Authorized Official

Name: KEVIN J MEURET
Title: CEO/OWNER
Phone: (636) 600-1137

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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