Individual provider · Type 1 NPI

Stephen C. Raynor, MD

Pediatric Surgery Physician · Omaha, NE

NPI number 1104876507 Active

Practice location

Children's Hospital - Pediatric Surgery, 8200 Dodge Street
Omaha, NE 68114-4113

Fax (402) 955-7405

Mailing address

Children's Hospital, 8200 Dodge Street
Omaha, NE 68114-4113

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician Primary 2086S0120X16699 (NE)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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About NPI 1104876507

Stephen C. Raynor, MD's National Provider Identifier is 1104876507, issued on May 10, 2006. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Omaha, NE. The record was last updated on Jul 8, 2007.