Individual
STEVEN B BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
987400 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-7400
(402) 552-3932
(402) 552-3545
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
12515
NE
2086S0122X
Plastic and Reconstructive Surgery Physician
12515
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47061923313
—
NE
Enumeration date
01/31/2007
Last updated
10/13/2017
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