Individual
DR. ANGELA JO KRATOCHVIL-STAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
982185 NEBRASKA MEDICAL CTR, DEPARTMENT OF PEDIATRICS, OMAHA, NE 68198-2185
(402) 888-2561
Mailing address
2123 S 49TH ST, OMAHA, NE 68106-3230
(402) 669-4590
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5464
NE
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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