Provider Demographics
NPI:1417965997
Name:SMITH, STEPHEN R (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:R
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:301 NORTH 27TH STREET
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-4457
Mailing Address - Country:US
Mailing Address - Phone:402-844-8000
Mailing Address - Fax:402-844-8047
Practice Address - Street 1:301 NORTH 27TH STREET
Practice Address - Street 2:SUITE 1
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-4457
Practice Address - Country:US
Practice Address - Phone:402-844-8000
Practice Address - Fax:402-844-8047
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2013-08-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE19894207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE279141Medicare PIN