| NPI | 1083946149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRON A. ALLI Owner And Manager 402-397-7057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NE Pending) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2010-02-13 |