| NPI | 1134877178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHAIE LYNN RANDALL Anesthesiologist/Sole Proprietor 402-499-2935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2022-06-29 |