Organization
MCTAGGART OB-GYN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL C MCTAGGART M.D. (PRESIDENT/OWNER)
(402) 614-2233
Entity
Organization
Contact information
Practice address
1910 S 72ND ST, SUITE 206, OMAHA, NE 68124-1743
(402) 614-2233
(402) 397-5925
Mailing address
1910 S 72ND ST, SUITE 206, OMAHA, NE 68124-1743
(402) 614-2233
(402) 397-5925
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
18286
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024951000
—
NE
Enumeration date
10/18/2006
Last updated
10/21/2011
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