Organization Name: | PRIMARY CARE PHYSICIANS, LLP |
NPI Number: | 1649230426 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAUREEN B JONES (BUSINESS ADMINISTRATOR) |
Mailing Address: | 12728 Augusta Ave Omaha |
State: | NE US |
Postal Code: | 681443754 |
Phone Number: | 4023301410 |
Fax Number: | 4023307139 |
NPI Enumeration Date: | 03/24/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |