Individual
CHARLES EDWARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 S 70TH ST, LINCOLN, NE 68510-2462
(402) 219-8000
(402) 426-4642
Mailing address
555 S 70TH ST, LINCOLN, NE 68510-2462
(402) 219-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18817
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376589085
—
NE
Enumeration date
06/21/2006
Last updated
06/01/2022
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