Alegent Creighton Clinic

NPI #1699035931 in Omaha, Nebraska

Provider Information

NPI Number: 1699035931
Entity Type: Organization
Organization Name: Alegent Creighton Clinic
Primary Specialty: Internal Medicine
Enumeration Date: May 21, 2012
Last Updated: Jul 24, 2012

Practice Location

Address: 12809 W DODGE RD
City: Omaha
State: Nebraska
ZIP Code: 68154-2155
Phone: (402) 343-4328

Authorized Official

Name: MAUREEN A CAVANAUGH
Title: COMPLIANCE OFFICER
Phone: (402) 343-4328

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Obstetrics & Gynecology	207V00000X
Internal Medicine	207R00000X	Primary

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