SCOTT J FASSE

OMAHA, NE
NPI1154405090
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NE  16872)
Enumeration Date2006-10-25
Last Update Date2007-07-08
Business Address
-- SCOTT J FASSE M.D.
614 N 108TH CT
OMAHA, NE 68154-1762
Phone number: 402-884-7218
Mailing Address
-- SCOTT J FASSE M.D.
614 N 108TH CT
OMAHA, NE 68154-1762
Phone number: 402-884-7218
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