Organization
POPP COSMETIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY COLLINS POPP MD (PRESIDENT)
(402) 391-4558
Entity
Organization
Contact information
Practice address
11919 GRANT ST, STE 100, OMAHA, NE 68164-3475
(402) 391-4558
(402) 391-7401
Mailing address
11919 GRANT ST, STE 100, OMAHA, NE 68164-3475
(402) 391-4558
(402) 391-7401
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01644
BLUECROSS BLUESHIELD
NE
01
—
F235478
MIDLANDS CHOICE
—
Enumeration date
03/02/2006
Last updated
08/22/2020
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