Individual
DR. JEFFREY SCOTT CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8111 DODGE ST STE 263, OMAHA, NE 68114-4118
(402) 354-8163
(402) 354-2416
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26573
NE
208600000X
Surgery Physician
6255
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992018162
—
IA
05
—
47068731707
—
NE
Enumeration date
07/16/2010
Last updated
07/21/2022
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