OrganizationActive
Aesthetic & Reconstructive Surgery PC
NPI 1104145077 · Specialist · Omaha, NE
Provider details
- NPI number
- 1104145077
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Authorized official
- Chester Thompson, President
- License
- 11216 (NE)
Practice location
2727 S 144th St Ste 205
Omaha, NE 68144-5230
Phone: (402) 778-5555
Fax: (402) 778-5550
Mailing address
2727 S 144th St Ste 205
Omaha, NE 68144-5230
Registry dates
- Enumerated
- 2010-05-18
- Last updated
- 2010-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.