| NPI | 1053385328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN W WARD Md 402-397-7057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NE ASC062) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2024-05-09 |