NPI 1629076302
Colon and Rectal Surgery INC
Practice location
- Address
- 985 Nicholas Street Suite 100, Omaha, NE 68114
- Phone
- (402) 343-1122
- Fax
- (402) 343-1177
- Mailing address
- 9850 Nicholas Street Suite 100, Omaha, NE 68114
Authorised official
- Name
- Andy Stockton
- Title
- Practice Administrator
- Phone
- (402) 343-1122
Registered specialties
Colon & Rectal Surgery Physician
Primary
Registry record
- NPI
- 1629076302
- Entity type
- Organization
- NPI issued
- 7 Jul 2005
- Record last updated
- 21 Jul 2022
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.