Individual
SUMMER C STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7710 MERCY RD STE 1000, OMAHA, NE 68124-2323
(402) 717-2500
Mailing address
6203 KENTUCKY RD, PAPILLION, NE 68133-2372
(402) 320-0196
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
110881
IA
363A00000X
Physician Assistant
Primary
2658
NE
Other
Enumeration date
04/17/2018
Last updated
10/21/2021
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