Individual
GREGORY G ECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 MERCY DR, ALEGENT MERCY HOSPITAL, COUNCIL BLUFFS, IA 51503
(712) 328-5000
Mailing address
PO BOX 4460, OMAHA, NE 68104
(866) 491-5807
(913) 491-0411
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
21739
NE
2085R0202X
Diagnostic Radiology Physician
Primary
34036
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0247809
—
IA
05
—
1247809
—
IA
01
—
21739
NE LICENSE #
—
05
—
2247809
—
IA
01
—
26106
MIDLANDS
—
05
—
3247809
—
IA
01
—
34036
IA LICENSE #
—
01
—
35310
NEBRASKA BCBS
—
01
—
40622
IOWA BCBS
—
05
—
4247809
—
IA
01
—
BE7410739
IA CONTROLLED SUBSTANCE
—
Enumeration date
06/19/2006
Last updated
03/07/2023
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