Graduated: 2022
NPI: 1457065716
Practice Locations (2)
OMAHA NEPHROLOGY PC
300 W BROADWAY, SUITE 150
COUNCIL BLUFFS, IA 515039077
7123880261
PHYSICIANS CLINIC INC
10060 REGENCY CIR
OMAHA, NE 681143732
4023541570
Source: CMS National Downloadable File, September 2026.