NPI 1043482094
Midwest Pain Clinic PC
Practice location
- Address
- 825 N 90th St, Omaha, NE 68114-2702
- Phone
- (402) 391-7246
- Fax
- (402) 408-1783
- Mailing address
- 825 N 90th St, Omaha, NE 68114-2706
Authorised official
- Name
- Maureen E Mahoney
- Title
- Credentialing Specialist
- Phone
- (402) 391-7246
Registered specialties (6)
Interventional Pain Medicine Physician
Primary
Pain Medicine (Anesthesiology) Physician
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Pain Medicine Physician
Physician Assistant
Family Nurse Practitioner
Registry record
- NPI
- 1043482094
- Entity type
- Organization
- NPI issued
- 31 Mar 2008
- Record last updated
- 12 Sep 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.