| NPI | 1033340146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN E. VAN NOY Physician Assistant 308-633-1280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NE 875) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |