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General NPI Number Information
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NPI Number | 1144328022
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Entity Type | Individual
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Provider Name | PETER D MCLEAY MD
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Gender | Male
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 10/02/2007
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Provider Practice Location Address
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Address Line | 8552 CASS ST #308
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City | OMAHA
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State | NE
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Zip | 68114-3570
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Country | US
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Telephone | 402-991-5300
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Fax | 402-991-5407
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Provider Business Mailing Address
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Address Line | 8552 CASS ST #308
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City | OMAHA
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State | NE
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Zip | 68114-3570
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Country | US
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Telephone | 402-991-5300
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Fax | 402-991-5407
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 18014
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 30071
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License Number State | IA
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