Individual
STEPHEN P MOESSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11704 W CENTER RD STE 110, OMAHA, NE 68144-4327
(402) 691-1575
(402) 341-8565
Mailing address
11704 W CENTER RD STE 110, OMAHA, NE 68144-4327
(402) 691-1575
(402) 341-8565
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
16467
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01573
BCBS
NE
05
—
10025014200
—
NE
05
—
6910141
—
IA
Enumeration date
10/19/2006
Last updated
07/03/2024
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