Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 18020 | NE |
NPI | 1134218837 |
---|---|
Provider Name | Brent L Steffen |
First Address | Kearney, NE 68848 |
Second Address | Kearney, NE 68845-7336 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 30/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00082 | BCBS (01) | |
E28257 | (02) |