John J Cannella III MD

NPI 1619099629 - Internal Medicine - 207RG0100X

NPI Details
NPI 1619099629
Gender Male
Enumeration Date 04/03/2007
Last Updated 12/07/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
8901 INDIAN HILLS DR
SUITE 200
OMAHA NE, 68114-4057, US
Phone (402) 397-7057
Fax (402) 397-6656
Business Location
8901 INDIAN HILLS DR
SUITE 200
OMAHA NE, 68114-4057, US
Phone (402) 397-7057
Fax (402) 397-6656
Toxanomy
Taxonomy Code 207RG0100X
License State Nebraska
License Number 23226
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According to our database, Dr. John J Cannella III MD NPI is 1619099629, taxonomy code is 207RG0100X and license number is 23226, license state is located at Nebraska. John J Cannella III MD physically located at 8901 Indian Hills Dr, Omaha NE, 68114-4057. NPI Number John J Cannella III MD has the Individual type.

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1619099629 NPI number is provided on an as is basis without warranty of any kind. 1619099629 is maintained by the National Plan & Provider Enumeration System. The contents of John J Cannella III MD are for informational purposes only.