Organization
OMAHA FAMILY MEDICINE, P.C.
Active
Other names
Charles Stoner, M.D. Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES H. STONER JR. M.D. (PRESIDENT)
(402) 991-7000
Entity
Organization
Contact information
Practice address
17841 PIERCE PLZ, OMAHA, NE 68130
(402) 991-7000
(402) 991-7999
Mailing address
17841 PIERCE PLZ, OMAHA, NE 68130
(402) 991-7000
(402) 991-7999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20625
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024979400
—
NE
05
—
100249794001
—
NE
01
—
2801010835
CLIA
NE
Enumeration date
10/01/2007
Last updated
03/07/2023
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