Individual
SARA STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12910 PIERCE ST STE 120, OMAHA, NE 68144-1106
(402) 933-3770
(402) 933-3633
Mailing address
12910 PIERCE ST STE 120, OMAHA, NE 68144-1106
(402) 933-3770
(402) 933-3633
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2175
NE
363A00000X
Physician Assistant
2013045549
MO
Other
Enumeration date
03/01/2012
Last updated
02/06/2019
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