Individual
DR. APOLLO ALEXANDER STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2725 S 144TH ST STE 212, OMAHA, NE 68144-5253
(402) 609-3000
(402) 609-3808
Mailing address
2725 S 144TH ST STE 212, OMAHA, NE 68144-5253
(402) 609-3000
(402) 609-3808
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
8200
NE
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
34887
NE
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD-52095
IA
Other
Enumeration date
05/22/2018
Last updated
04/01/2024
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