| Doctor Name: | DR. ALLEN D DVORAK |
| NPI Number: | 1225055999 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 12045 |
| Business Practice Address: | 401 East Gold Coast Rd Ste 102 Papillion, NE - 680464782 |
| Business Phone Number: | 4023398991 |
| Business Fax Number: | 4023396741 |
| Mailing Address: | 401 East Gold Coast Rd, Ste 102 PAPILLION |
| State: | NE |
| Postal Code: | 680464782 |
| Phone Number: | 4023398991 |
| Fax Number: | 4023396741 |
| NPI Enumeration Date: | 07/17/2006 |
| NPI Last Update Date: | 09/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 12045 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |