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NPI Code Detail

MEDICARE: DR. PATRICIA ANN TERP M.D.

MEDICARE: DR. PATRICIA ANN TERP 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
1207W00000XOphthalmology Physician28466NE

General Provider Information

NPI Number : 1740576040
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICIA ANN TERP M.D.
Provider Business Mailing Address
First Line : 2827 N CLARKSON ST
Second Line :
City : FREMONT
State : NE
Zip : 68025-7714
Country : US
Telephone Number : 402-721-7222
Fax Number :
Provider Business Practice Location Address
First Line : 2827 N CLARKSON ST
Second Line :
City : FREMONT
State : NE
Zip : 68025-7714
Country : US
Telephone Number : 402-721-7222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2011
Last Update Date : 04/13/2020

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Directions to “ DR. PATRICIA ANN TERP M.D.” Practice Location

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