Individual
PETER J WHITTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., J.D.
Contact information
Practice address
4353 DODGE ST, OMAHA, NE 68131-2709
(402) 552-2020
(402) 552-2367
Mailing address
4353 DODGE ST, OMAHA, NE 68131-2709
(402) 552-2020
(402) 552-2367
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
15524
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47080542812
—
NE
Enumeration date
11/16/2005
Last updated
09/10/2021
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