Individual
THOMAS JASON MEREDITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
(402) 294-2056
Mailing address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
27115
NE
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
27115
NE
Other
Enumeration date
06/23/2011
Last updated
04/04/2018
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