Most Relevant Information
Provider Data
| NPI Number: | 1003250556 |
| Provider Name: | JONATHAN DUANE ROUSE DPM |
| Entity Type: | Individual |
| Taxonomy Code: | 213ES0103X |
| Specialty: | Podiatrist |
| License Number: | 016.005724 |
Most Important Dates
| Enumeration Date: | 04/25/2013 |
| Last Updated: | 04/01/2020 |
Provider Practice Location
9006 OHIO ST STE 1
OMAHA
NE
681346139
Practice Location Phone/Fax
| Phone: | 4023917575 |
| Fax: | 4023911508 |
Provider Mailing Location
9006 OHIO ST STE 1
OMAHA
NE
681346139
Provider Mailing Phone/Fax
| Phone: | 4023917575 |
| Fax: | 4023911508 |
Suggested EMR
Podiatry EMR