| NPI | 1023531936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE HOTTOVY Practice Manager 402-484-3124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2017-10-23 |