Mario Edward Baccari M.D.

NPI 1003018821 - Specialist - 174400000X

NPI Details
NPI 1003018821
Gender Male
Enumeration Date 06/04/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
9475 PAULINE ST
OMAHA NE, 68124-3838, US
Phone (402) 397-6145
Fax
Business Location
9475 PAULINE ST
OMAHA NE, 68124-3838, US
Phone (402) 397-6145
Fax
Toxanomy
Taxonomy Code 174400000X
License State Nebraska
License Number 11483
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According to our database, Dr. Mario Edward Baccari M.D. NPI is 1003018821, taxonomy code is 174400000X and license number is 11483, license state is located at Nebraska. Mario Edward Baccari M.D. physically located at 9475 Pauline St, Omaha NE, 68124-3838. NPI Number Mario Edward Baccari M.D. has the Individual type.

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1003018821 NPI number is provided on an as is basis without warranty of any kind. 1003018821 is maintained by the National Plan & Provider Enumeration System. The contents of Mario Edward Baccari M.D. are for informational purposes only.