Organization
JEM MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC JOHNSON (CEO)
(402) 505-2125
Entity
Organization
Contact information
Practice address
2555 S 177TH PLZ, SUITE 172, OMAHA, NE 68130-2878
(402) 505-2125
Mailing address
2555 S 177TH PLZ, SUITE 172, OMAHA, NE 68130-2878
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21189
NE
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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