Individual
STUART I MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 S 48TH ST, SUITE 604, LINCOLN, NE 68506-1276
(402) 481-8500
Mailing address
1500 S 48TH ST, SUITE 604, LINCOLN, NE 68506-1276
(402) 481-8500
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
24803
NE
2086S0129X
Vascular Surgery Physician
MD057183L
PA
2086S0129X
Vascular Surgery Physician
MD41290
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001549335
—
PA
05
—
10025651100
—
NE
Enumeration date
08/23/2006
Last updated
04/21/2016
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