Most Relevant Information
Provider Data
| NPI Number: | 1003540154 |
| Provider Name: | MARTY PAUL USSERY PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/14/2022 |
| Last Updated: | 05/14/2024 |
Provider Practice Location
10707 PACIFIC ST STE 101
OMAHA
NE
681144762
Practice Location Phone/Fax
| Phone: | 4023977989 |
| Fax: |
Provider Mailing Location
PO BOX 8577
OMAHA
NE
681080577
Provider Mailing Phone/Fax
| Phone: | 4023977989 |
| Fax: | 4023937554 |