NPI 1376882126

Gaven M Fults

Practitioner Perfusionist Omaha, NE

Practice location

Address: 14708 Kansas Ave, Omaha, NE 68116-4514
Phone: (402) 309-0523

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X

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Registry record

NPI: 1376882126
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Feb 2013
Record last updated: 13 Feb 2013

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.