Individual
STEVE BEN MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7710 MERCY RD STE 202, OMAHA, NE 68124-2353
(914) 471-6371
Mailing address
7710 MERCY RD STE 202, OMAHA, NE 68124-2353
(914) 471-6371
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
8875
NE
208600000X
Surgery Physician
MT219316
PA
Other
Enumeration date
06/24/2019
Last updated
08/10/2020
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