| NPI | 1144626581 |
|---|---|
| Doing Business As | SOUTH OMAHA PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | PAM SMITH Office Manager 712-322-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |