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NPI Code Detail

MEDICARE: JOHN H JIRKA MD

MEDICARE: JOHN H JIRKA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080N0001XNeonatal-Perinatal Medicine Physician12684NE

General Provider Information

NPI Number : 1245237429
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN H JIRKA MD
Provider Business Mailing Address
First Line : PO BOX 49
Second Line :
City : PITTSBURGH
State : PA
Zip : 15230-0049
Country : US
Telephone Number : 412-937-5949
Fax Number : 412-937-5705
Provider Business Practice Location Address
First Line : 8200 DODGE ST
Second Line :
City : OMAHA
State : NE
Zip : 68114-4113
Country : US
Telephone Number : 402-955-6140
Fax Number : 402-955-3398
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 07/08/2007

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