BLAKE AARON KOOIMA

OMAHA, NE
NPI1962070789
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NE  9046)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-06-17
Last Update Date2021-06-17
Business Address
BLAKE AARON KOOIMA DO
982055 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-2055
Phone number: 402-559-7738
Mailing Address
BLAKE AARON KOOIMA DO
982055 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-2055
Phone number: 402-559-7738