SearchNebraska261QP2000X

Alex Koziol

NPI 1124400874 · on the registry since 2015 · sole proprietor

Practice

Address
2305 S 10th St
Omaha, NE 68108
Phone
(402) 345-1542
Organisation at this address
Delmar Gardens Of Omaha, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
33

Registry record

Primary taxonomy
261QP2000X
261QP2000X
Also registered as
261QP2000X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-06-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska