Individual
DR. STUART PAUL WESTBURG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2756 O ST, LINCOLN, NE 68510-1341
(402) 474-4497
Mailing address
2756 O ST, LINCOLN, NE 68510-1341
(402) 474-4497
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
12613
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03075
BC/BS PROVIDER #
NE
05
—
47067550600
—
NE
Enumeration date
07/20/2005
Last updated
07/09/2007
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