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1245300565
BARRY L FANDERS
OMAHA, NE
NPI
1245300565
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: NE 17419)
Enumeration Date
2006-11-08
Last Update Date
2010-02-01
Business Address
BARRY L FANDERS MD
6901 N 72ND ST ALEGENT IMMANUEL HOSPITAL DEPT OF RADIOLOGY
OMAHA, NE 68122-1709
Phone number: 402-572-2324
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Mailing Address
BARRY L FANDERS MD
PO BOX 4460
OMAHA, NE 68104-0460
Phone number: 866-491-5807
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