Individual
DR. GERARD JOSEPH STANLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2255 S 132ND ST, SUITE 100, OMAHA, NE 68144-2573
(402) 884-6700
(402) 502-8202
Mailing address
7710 MERCY RD STE 224, ATTN: LISA TERRY, OMAHA, NE 68124-2346
(402) 361-5225
(402) 391-1533
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2006034640
MO
207Q00000X
Family Medicine Physician
Primary
23704
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100262670-00
—
NE
01
—
1427139294
BC/BS NEBRASKA
NE
05
—
1427139294
—
IA
Enumeration date
10/18/2006
Last updated
02/22/2013
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