Individual
JOSEPH STAVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 N 30TH ST, OMAHA, NE 68131-2128
(402) 449-4416
(402) 449-4525
Mailing address
14441 DUPONT CT, SUITE 304, OMAHA, NE 68144-2153
(402) 597-8775
(402) 597-8811
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
17407
NE
2085R0204X
Vascular & Interventional Radiology Physician
Primary
17407
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902317
—
NC
Enumeration date
10/20/2006
Last updated
07/05/2016
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