Individual
MR. JARED PEHRSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 S PINE ST, VALLEY, NE 68064-4400
(402) 359-2277
(402) 359-5432
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23107
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07187
BCBS
NE
05
—
1861434482
—
IA
01
—
250970
MIDLANDS CHOICE
NE
05
—
47017633012
—
NE
05
—
47068731761
—
NE
01
—
P00456997
PALMETTO GBA
NE
Enumeration date
06/11/2006
Last updated
03/07/2023
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