Individual
PATRICK GLEN MEYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 N 103RD PLZ STE 102, OMAHA, NE 68114-1119
(402) 354-0220
(402) 354-0225
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
18167
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026480109
—
NE
05
—
1245232305
—
IA
Enumeration date
06/02/2005
Last updated
01/22/2018
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