NPI 1093979163

Popp Cosmetic Surgery PC

Organisation Plastic and Reconstructive Surgery Physician Omaha, NE

Practice location

Address: 11919 Grant St Suite 100, Omaha, NE 68164-3475
Phone: (402) 391-4558
Fax: (402) 391-7401

Authorised official

Name: Jeffrey Collins Popp
Title: President/Owner
Phone: (402) 391-4558

Registered specialties

Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence 15046 (NE)

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Registry record

NPI: 1093979163
Entity type: Organization
NPI issued: 17 Jul 2008
Record last updated: 17 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.