Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 17893 | NE |
NPI | 1144334566 |
---|---|
Provider Name | Murray J. Casey |
First Address | Omaha, NE 68164-8117 |
Second Address | Omaha, NE 68131-2137 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2006 |
Last Update Date | 14/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B51979 | (02) | NE |