Individual
STANLEY R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17310 WRIGHT ST STE 103, OMAHA, NE 68130-2405
(833) 228-6889
(877) 853-0376
Mailing address
17310 WRIGHT ST STE 103, OMAHA, NE 68130-2405
(833) 228-6889
(877) 853-0376
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
34173
AZ
2085R0202X
Diagnostic Radiology Physician
11738C
WY
2085R0202X
Diagnostic Radiology Physician
16510
ND
2085R0202X
Diagnostic Radiology Physician
2018011357
MO
2085R0202X
Diagnostic Radiology Physician
Primary
34173
AZ
2085R0202X
Diagnostic Radiology Physician
M-2422
GU
2085R0202X
Diagnostic Radiology Physician
MTL-2023-030
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
907925
—
AZ
Enumeration date
09/26/2005
Last updated
05/02/2025
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