Individual
DR. JESSE BARONDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8552 CASS ST, OMAHA, NE 68114-3567
(402) 955-4140
Mailing address
PO BOX 247037, OMAHA, NE 68124-7037
(402) 955-6935
(402) 955-6931
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
24022
NE
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
24022
NE
2080A0000X
Pediatric Adolescent Medicine Physician
SD9881
SD
Other
Enumeration date
05/30/2007
Last updated
11/28/2023
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