Basic Information
Provider Information
NPI: 1851510580
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MUSIC
FirstName: GUY
MiddleName: A
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8005 FARNAM DR
Address2: SUITE 305
City: OMAHA
State: NE
PostalCode: 681143426
CountryCode: US
TelephoneNumber: 4023989243
FaxNumber: 4023989253
Practice Location
Address1: 8005 FARNAM DRIVE
Address2: SUITE 305
City: OMAHA
State: NE
PostalCode: 68114
CountryCode: US
TelephoneNumber: 4023989243
FaxNumber: 4023989253
Other Information
ProviderEnumerationDate: 04/24/2007
LastUpdateDate: 04/16/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207T00000XMD-38892IAN Allopathic & Osteopathic PhysiciansNeurological Surgery 
207T00000X5058NEY Allopathic & Osteopathic PhysiciansNeurological Surgery 

No ID Information.


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