Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 23695 | NE |
N | 207YP0228X | Pediatric Otolaryngology | 23695 | NE |
NPI | 1255496766 |
---|---|
Provider Name | Dr. Richard Mack Tempero |
First Address | Omaha, NE 68131-2136 |
Second Address | Omaha, NE 68124-2387 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/12/2006 |
Last Update Date | 29/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I16935 | (02) | NE |