| NPI | 1154316339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE VOIGT Administrator 308-534-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| 207Q00000X Family Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208D00000X General Practice | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2021-05-05 |