Whalio Doctors

NPI 1427094648

Jennifer Sam Beaty, MD

Practitioner Colon & Rectal Surgery Physician Omaha, NE

Practice location

Address
9850 Nicholas St STE 100, Omaha, NE 68114-2191
Phone
(402) 343-1122
Fax
(402) 343-1177

Registered specialties

Colon & Rectal Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 24105 (NE)

Registry record

NPI
1427094648
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Jun 2006
Record last updated
17 Mar 2009

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.