| Gerard J Stanley Jr Md Pc | |
|
2255 S 132nd St Omaha NE 68144-2573 | |
| (402) 884-6700 | |
| (402) 884-6040 |
| Full Name | Gerard J Stanley Jr Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2255 S 132nd St, Omaha, Nebraska |
| Authorized Official Name and Position | Gerard Joseph Stanley (OWNER) |
| Authorized Official Contact | 4028846700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerard J Stanley Jr Md Pc 2255 S 132nd St Omaha NE 68144-2573 Ph: (402) 884-6700 | Gerard J Stanley Jr Md Pc 2255 S 132nd St Omaha NE 68144-2573 Ph: (402) 884-6700 |
| NPI Number | 1790035954 |
|---|---|
| Provider Enumeration Date | 09/14/2012 |
| Last Update Date | 03/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790035954 | NPI | - | NPPES |
| 10026267000 | Medicaid | NE | |
| 1427139294 | Other | NE | BCBS NE |
| 1427139294 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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