Christine Jo Head PA

NPI 1083712376 - Physician Assistant - 363AM0700X

NPI Details
NPI 1083712376
Gender Female
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
601 N 30TH ST
OMAHA NE, 68131-2137, US
Phone (402) 449-4590
Fax
Business Location
PO BOX 3366-0210
OMAHA NE, 68176-0210, US
Phone (866) 321-8433
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Nebraska
License Number PA 989
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According to our database, Christine Jo Head PA NPI is 1083712376, taxonomy code is 363AM0700X and license number is PA 989, license state is located at Nebraska. Christine Jo Head PA physically located at 601 N 30th St, Omaha NE, 68131-2137. NPI Number Christine Jo Head PA has the Individual type.

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1083712376 NPI number is provided on an as is basis without warranty of any kind. 1083712376 is maintained by the National Plan & Provider Enumeration System. The contents of Christine Jo Head PA are for informational purposes only.