Individual
JON R GOLDSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6829 N 72ND ST, SUITE 7500, OMAHA, NE 68122-1723
(402) 933-8540
(402) 933-8578
Mailing address
7261 MERCY RD, ATTN: CREDENTIALING, OMAHA, NE 68124-2311
(402) 398-6255
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
304
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026225000
—
NE
Enumeration date
04/19/2006
Last updated
08/02/2016
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