| NPI | 1023255643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D DEWALD Authorized Official 402-484-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2015-06-01 |