Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 8293 | NE |
Y | 208600000X | Surgeon | 8293 | NE |
NPI | 1013409903 |
---|---|
Provider Name | Dr. Benjamin David Acton |
First Address | Omaha, NE 68198-3280 |
Second Address | Omaha, NE 68198-3280 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2018 |
Last Update Date | 05/06/2018 |