Organization
GERARD J STANLEY JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD JOSEPH STANLEY JR. M.D. (OWNER)
(402) 884-6700
Entity
Organization
Contact information
Practice address
2255 S 132ND ST, OMAHA, NE 68144-2573
(402) 884-6700
(402) 884-6040
Mailing address
2255 S 132ND ST, OMAHA, NE 68144-2573
(402) 884-6700
(402) 884-6040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026267000
—
NE
01
—
1427139294
BCBS NE
NE
05
—
1427139294
—
IA
Enumeration date
09/14/2012
Last updated
03/20/2013
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