Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 26046 | NE |
NPI | 1235271172 |
---|---|
Provider Name | James Francis Smith JR. |
First Address | Omaha, NE 68131-2128 |
Second Address | Omaha, NE 68131-2128 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2007 |
Last Update Date | 02/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E22720 | (02) | CA |