Individual
JAMIE J. VITAMVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7100 W CENTER RD, OMAHA, NE 68106-2714
(402) 506-9128
(402) 315-2744
Mailing address
7100 W CENTER RD, OMAHA, NE 68106-2714
(402) 506-9128
(402) 315-2744
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26327
NE
207Q00000X
Family Medicine Physician
40569
IA
207Q00000X
Family Medicine Physician
TEP6377
NE
Other
Enumeration date
06/25/2010
Last updated
09/27/2021
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