Individual
JASON MICHAEL PATERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20310 BLUE SAGE PKWY, OMAHA, NE 68130
(402) 559-0111
(402) 559-0112
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26814
NE
207Q00000X
Family Medicine Physician
6454
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6454
STATE TEP
NE
Enumeration date
05/12/2011
Last updated
06/06/2018
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