Most Relevant Information
Provider Data
| NPI Number: | 1003195934 |
| Provider Name: | AMANDA MARSHALL |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | R72680 |
Most Important Dates
| Enumeration Date: | 08/09/2011 |
| Last Updated: | 08/29/2014 |
Provider Practice Location
8200 DODGE ST
OMAHA
NE
681144113
Practice Location Phone/Fax
| Phone: | 4029552292 |
| Fax: |
Provider Mailing Location
8200 DODGE ST
OMAHA
NE
681144113
Provider Mailing Phone/Fax
| Phone: | 4029955400 |
| Fax: |
Suggested EMR
Pediatrics EMR