Provider Demographics
NPI:1972888063
Name:DAVID L STERN DO PC
Entity type:Organization
Organization Name:DAVID L STERN DO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:STERN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:402-398-6176
Mailing Address - Street 1:7710 MERCY RD STE 424
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-2346
Mailing Address - Country:US
Mailing Address - Phone:402-398-6176
Mailing Address - Fax:402-343-8765
Practice Address - Street 1:7500 MERCY RD STE 4300
Practice Address - Street 2:7500 MERCY RD
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-2319
Practice Address - Country:US
Practice Address - Phone:402-398-6176
Practice Address - Fax:402-343-8765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-20
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE467207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty