| Antonio B Saqueton PC | |
|
4115 Harrison St Omaha NE 68147-1059 | |
| (402) 978-5151 | |
| (402) 341-3616 |
| Full Name | Antonio B Saqueton PC |
|---|---|
| Speciality | Family Medicine |
| Location | 4115 Harrison St, Omaha, Nebraska |
| Authorized Official Name and Position | Nanci Vieyra (BILLING MANAGER) |
| Authorized Official Contact | 4029785151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Antonio B Saqueton PC Po Box 460607 Papillion NE 68046-0607 Ph: (402) 978-5151 | Antonio B Saqueton PC 4115 Harrison St Omaha NE 68147-1059 Ph: (402) 978-5151 |
| NPI Number | 1205037579 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 09/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205037579 | NPI | - | NPPES |
| 10025273600 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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