Organization
POPP COSMETIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY COLLINS POPP MD (PRESIDENT/OWNER)
(402) 391-4558
Entity
Organization
Contact information
Practice address
11919 GRANT ST, SUITE 100, OMAHA, NE 68164-3475
(402) 391-4558
(402) 391-7401
Mailing address
11919 GRANT ST, SUITE 100, OMAHA, NE 68164-3475
(402) 391-4558
(402) 391-7401
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
15046
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01644
BLUECROSS BLUESHIELD
NE
01
—
03330
BLUECROSS BLUESHIELD
NE
01
—
13-00055
UNITED HEALTHCARE
NE
01
—
180011030
RAILROAD MEDICARE
NE
01
—
497
MIDLANDS CHOICE
NE
01
—
F235478
MIDLANDS CHOICE
NE
Enumeration date
07/17/2008
Last updated
07/17/2008
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