| NPI | 1124548607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL ADAM GILLESPIE Owner/President 402-758-5327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NE 348) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2023-05-03 |