Individual
STEVEN V. DECOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4629 S 162ND AVE, OMAHA, NE 68135-1360
(402) 895-1753
Mailing address
4629 S 162ND AVE, OMAHA, NE 68135-1360
(402) 895-1753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
22365
IA
Other
Enumeration date
09/27/2005
Last updated
07/08/2007
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