| NPI | 1033616081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA MARY WESTER Owner 402-249-6136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2024-07-23 |