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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MOD DERMATOLOGY PC

Active Organization

MOD DERMATOLOGY PC is a Dermatology organization located in OMAHA, Nebraska. NPI 1982105425 is currently active in the NPPES registry. Verify at CMS.

Dermatology · OMAHA, NE

Registration Details

NPI Number
1982105425
Provider Type
Organization
NPI Issued
Feb 21, 2018 (8.4678842069798 yrs)
Last Updated
Jan 20, 2023
License
28493 (NE)

Practice Information

Address
16910 FRANCES ST
OMAHA, NE, 681302398
Browse NE providers · Browse ZIP 68130
Phone
4025058777
Fax
4029337767
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Dermatology
Additional Specialty
Physician Assistant
Additional Specialty
Dermatology
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.