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NPI Code Detail

MEDICARE: DR. DAVID W STAMM M.D.

MEDICARE:  DR. DAVID W STAMM  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician17231NE

Other Identifiers

General Provider Information

NPI Number : 1679684617
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID W STAMM M.D.
Provider Business Mailing Address
First Line : PO BOX 3755
Second Line :
City : OMAHA
State : NE
Zip : 68103-0755
Country : US
Telephone Number : 402-354-2100
Fax Number : 402-354-2155
Provider Business Practice Location Address
First Line : 3353 L ST
Second Line :
City : OMAHA
State : NE
Zip : 68107-2500
Country : US
Telephone Number : 402-354-7700
Fax Number : 402-354-7710
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 01/03/2014

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Directions to “ DR. DAVID W STAMM M.D.” Practice Location

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