Individual
DR. WILLIAM W SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 N 89TH ST, SUITE 101, OMAHA, NE 68114-4072
(402) 393-3616
(402) 393-4347
Mailing address
PO BOX 30266, OMAHA, NE 68103-1366
(402) 341-2197
(402) 341-8565
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
12247
NE
207X00000X
Orthopaedic Surgery Physician
31862
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025837700
—
NE
05
—
1386754380
—
IA
01
—
NA1516
MEDICARE, PTAN
NE
Enumeration date
08/30/2006
Last updated
05/25/2010
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