Organization
PLASTIC SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN B. BLACK M.D. (M.D.)
(402) 552-2200
Entity
Organization
Contact information
Practice address
4239 FARNAM ST, #219, OMAHA, NE 68131-2868
(402) 552-2200
(402) 552-2207
Mailing address
4239 FARNAM ST STE 219, OMAHA, NE 68131-2803
(402) 552-2200
(402) 552-2207
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12515
NE
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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