Utica Medical Clinic, P.C.

Organization Active NPI Family Medicine Physician · Utica, NE

NPI 1861663650 · NPPES record last updated Jun 7, 2010

Key facts

NPI
1861663650
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
10958 (NE)
Legal business name
UTICA MEDICAL CLINIC, P.C.
Practice address
1350 Centennial Ave
Utica, NE 68456-6094
Phone
(402) 534-2041
Fax
(402) 534-3546
NPI assigned
Mar 19, 2008
Organization subpart
No

Authorized official

Name
Roger H Meyer, MD
Title
Owner
Phone
(402) 534-2851

National Provider Directory

Locations

466 Pinewood Ave
Seward, NE 68434
Phone (402) 643-2902

1350 Centennial Ave
Utica, NE 68456
Phone (402) 534-2041

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X 10958 NE Yes

Addresses

Primary practice location

1350 Centennial Ave
Utica, NE 68456-6094

Mailing address

PO Box 67250
Lincoln, NE 68506-7250
Phone (402) 436-2855

Other providers in Utica, NE

All providers in Utica, NE · Family Medicine Physician in Nebraska

Sources for this page

Verify at the official NPI Registry.