Individual
JIRI BIORN BEDRNICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8303 DODGE ST, OMAHA, NE 68114-4108
(402) 354-4540
(402) 354-4535
Mailing address
P.O. BOX 2797, OMAHA, NE 68103-2797
(402) 354-4230
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25039
NE
390200000X
Student in an Organized Health Care Education/Training Program
37706
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831352046
—
IA
01
—
25039
MEDICAL LICENSE
NE
01
—
37706
MEDICAL LICENSE
AZ
05
—
47037660422
—
NE
01
—
92239
MEDICAL LICLENSE
OH
Enumeration date
07/08/2008
Last updated
12/17/2013
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