| Doctor Name: | CAMERON J OURADA |
| NPI Number: | 1376516161 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 1060 |
| Business Practice Address: | 810 N 22nd St Blair, NE - 68008 |
| Business Phone Number: | 4024261629 |
| Business Fax Number: | 4024261297 |
| Mailing Address: | 810 North 22nd Street, BLAIR |
| State: | NE |
| Postal Code: | 68008 |
| Phone Number: | 4024261629 |
| Fax Number: | 4024261297 |
| NPI Enumeration Date: | 02/10/2006 |
| NPI Last Update Date: | 02/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 1060 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |