Individual
DR. JONATHAN F MORAVEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4242 FARNAM ST, SUITE 500, OMAHA, NE 68131-2806
(402) 552-2650
(402) 552-2655
Mailing address
4242 FARNAM ST, SUITE 500, OMAHA, NE 68131-2806
(402) 552-2650
(402) 552-2655
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
23170
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025866000
—
NE
05
—
1578672523
—
NE
05
—
47068731713
—
NE
Enumeration date
08/30/2006
Last updated
01/24/2018
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