Individual
DR. JESSE HIMEBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4353 DODGE ST, OMAHA, NE 68131-2709
(402) 552-2020
(402) 552-2367
Mailing address
4353 DODGE ST, OMAHA, NE 68131-2709
(402) 552-2020
(402) 552-2367
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2017007168
MO
207W00000X
Ophthalmology Physician
Primary
30789
NE
207W00000X
Ophthalmology Physician
45207
IA
Other
Enumeration date
03/26/2013
Last updated
09/17/2021
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