Individual
CLYDE R MECKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 S 48TH ST, SUITE 600, LINCOLN, NE 68506-1275
(402) 483-3333
(402) 483-3297
Mailing address
1600 S 48TH ST, SUITE 600, LINCOLN, NE 68506-1275
(402) 483-3333
(402) 483-3297
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
19930
NE
207RI0011X
Interventional Cardiology Physician
Primary
19930
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100418760A
—
KS
05
—
100418760C
—
KS
05
—
1537191
—
IA
05
—
208462200
—
MO
05
—
47084496100
—
NE
Enumeration date
08/23/2006
Last updated
11/14/2011
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