| NPI | 1043200462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN WAYNE LANGVARDT President 402-228-3366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 12760) |
| Additional Taxonomies | 261QR1300X Clinic/Center Rural Health |
| 207Q00000X Family Medicine (Licence: NE 15796) | |
| 207Q00000X Family Medicine (Licence: NE 20597) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2013-09-03 |