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1417062399
BERNARD WALTER DOUGLAS
OMAHA, NE
NPI
1417062399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NE 17338)
Enumeration Date
2006-08-20
Last Update Date
2016-01-14
Business Address
-- BERNARD WALTER DOUGLAS M.D.
16128 DAVENPORT ST
OMAHA, NE 68118-4046
Phone number: 402-578-2645
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Mailing Address
-- BERNARD WALTER DOUGLAS M.D.
16128 DAVENPORT ST
OMAHA, NE 68118-4046
Phone number:
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