Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 4801 | NE |
NPI | 1689654519 |
---|---|
Provider Name | Dr. Stephen Joseph Hess |
First Address | Omaha, NE 68135-2672 |
Second Address | Omaha, NE 68178-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2006 |
Last Update Date | 08/07/2007 |