Individual
DR. JERRY EASTERDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9947 BROADMOOR RD, OMAHA, NE 68114-4926
(402) 639-3050
(402) 398-0152
Mailing address
9947 BROADMOOR RD, OMAHA, NE 68114-4926
(402) 639-3050
(402) 398-0152
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
15948
NE
2084P0800X
Psychiatry Physician
Primary
36076
MO
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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