Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 24810 | NE |
N | 207RX0202X | Medical Oncology | 24810 | NE |
NPI | 1093934598 |
---|---|
Provider Name | Dr. Eric J. Avery |
First Address | Lincoln, NE 68506-7548 |
Second Address | Lincoln, NE 68506-7548 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 25/02/2021 |