| NPI | 1053522888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JENNINGS LARSON President, Podiatrist 402-391-0960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NE 157) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2008-04-20 |