| 55 Mdos | |
|
2501 Capehart Rd Offutt Afb NE 68113-1043 | |
| (402) 232-8046 | |
| Not Available |
| Full Name | 55 Mdos |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2501 Capehart Rd, Offutt Afb, Nebraska |
| Authorized Official Name and Position | Rama Bhyravabhotla (DIRECTOR IPAP PHASE 2 PROGRAM) |
| Authorized Official Contact | 4022328046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 55 Mdos 2501 Capehart Rd Offutt Afb NE 68113-1043 Ph: () - | 55 Mdos 2501 Capehart Rd Offutt Afb NE 68113-1043 Ph: (402) 232-8046 |
| NPI Number | 1881095669 |
|---|---|
| Provider Enumeration Date | 09/11/2014 |
| Last Update Date | 02/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881095669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |