Individual
DR. STEPHEN C RAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CHILDREN'S HOSPITAL - PEDIATRIC SURGERY, 8200 DODGE STREET, OMAHA, NE 68114-4113
(402) 955-7400
(402) 955-7405
Mailing address
CHILDREN'S HOSPITAL, 8200 DODGE STREET, OMAHA, NE 68114-4113
(405) 955-5400
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
16699
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01204
BCBS
NE
01
—
17-00016
UHC
—
01
—
269802
COVENTRY
—
05
—
2946772
—
IA
01
—
4082052
AETNA
—
01
—
580
MIDLANDS CHOICE
—
Enumeration date
05/10/2006
Last updated
07/08/2007
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