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Individual

DR. JEFFREY LEE GARTRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10060 REGENCY CIR, OMAHA, NE 68114-3732
(402) 354-1405
(402) 354-1599
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26676
NE
207Q00000X
Family Medicine Physician
6027
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1356579148
IA
05
47068731734
NE
05
47068731741
NE
05
47068731742
NE
05
47068731749
NE
Enumeration date
06/30/2009
Last updated
01/03/2014
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