# UTICA MEDICAL CLINIC, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861663650
- **Authorized official:** ROGER H MEYER MD (OWNER)
- **Authorized official phone:** (402) 534-2851

## Contact information

- **Practice address:** 1350 CENTENNIAL AVE, UTICA, NE 68456-6094
- **Practice address phone:** (402) 534-2041
- **Practice address fax:** (402) 534-3546
- **Mailing address:** PO BOX 67250, LINCOLN, NE 68506-7250
- **Mailing address phone:** (402) 436-2855
- **Mailing address fax:** (402) 436-2859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 10958 | NE | Yes |

## Other

- **Enumeration date:** 03/19/2008
- **Last updated:** 06/07/2010
