Individual
STEPHEN B SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1320 S 79TH ST, OMAHA, NE 68124-1411
(402) 681-0455
Mailing address
1320 S 79TH ST, OMAHA, NE 68124-1411
(402) 502-8787
(402) 502-8788
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
15541
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025284600
—
NE
01
—
30460
BCBS OF NE
NE
Enumeration date
07/12/2006
Last updated
09/15/2023
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