Individual
DR. ROBERT BRIAN PACK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
987526 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-7526
(402) 552-3563
Mailing address
620 S 38TH ST APT 105, OMAHA, NE 68105-1157
(330) 998-1814
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5696
NE
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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