Individual
MR. STUART GORDON OXFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8309 CASS ST, OMAHA, NE 68114
(402) 397-8891
(402) 397-8892
Mailing address
PO BOX 34597, OMAHA, NE 68134-0597
(402) 397-8891
(402) 397-8892
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
15157
NE
208100000X
Physical Medicine & Rehabilitation Physician
31601
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0905802
—
IA
01
—
250000014
PALMETTO GBA - RRMC
—
05
—
47062885200
—
NE
Enumeration date
01/17/2006
Last updated
04/17/2012
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