| NPI | 1023761814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MAUREEN FREDRICKS Business Office Supervisor 402-361-5260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-01 |