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1093449142
ELIJAH TYLER FROST
OMAHA, NE
NPI
1093449142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: NE 3080)
Enumeration Date
2022-07-14
Last Update Date
2024-02-09
Business Address
ELIJAH TYLER FROST PA-C
42ND AND EMILE
OMAHA, NE 68198-0001
Phone number: 402-559-4000
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Mailing Address
ELIJAH TYLER FROST PA-C
8922 BUCKSHOT RD
LINCOLN, NE 68507-1196
Phone number: 402-937-3003
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