MEDICARE: DR. JEFFREY CHRISTOPHER BRITTAN M.D.

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
1	207Q00000X	Family Medicine Physician	15686	NE

General Provider Information

NPI Number	:	1578591103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY CHRISTOPHER BRITTAN M.D.

Provider Business Mailing Address
First Line	:	701 S BARE AVE
Second Line	:
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-5860
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	611 W FRANCIS ST
Second Line	:
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-0620
Country	:	US
Telephone Number	:	308-534-2532
Fax Number	:	308-534-6615

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. JEFFREY CHRISTOPHER BRITTAN M.D.” Practice Location

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