Individual
RICHARD J JIROVEC
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6041 VILLAGE DR, SUITE 130, LINCOLN, NE 68516-6619
(402) 423-1382
(402) 423-3590
Mailing address
6041 VILLAGE DR, SUITE 130, LINCOLN, NE 68516-6619
(402) 423-1382
(402) 423-3590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17216
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06212
BCBS
NE
05
—
10025250200
—
NE
Enumeration date
05/08/2006
Last updated
07/08/2007
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