Most Relevant Information
Provider Data
| NPI Number: | 1003802968 |
| Provider Name: | STANLEY R SMITH MD |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 34173 |
Most Important Dates
| Enumeration Date: | 09/26/2005 |
| Last Updated: | 01/31/2024 |
Provider Practice Location
17310 WRIGHT ST STE 103
OMAHA
NE
681302405
Practice Location Phone/Fax
| Phone: | 8332286889 |
| Fax: | 8778530376 |
Provider Mailing Location
17310 WRIGHT ST STE 103
OMAHA
NE
681302405
Provider Mailing Phone/Fax
| Phone: | 8332286889 |
| Fax: | 8778530376 |