| NPI | 1164049490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE CHURCH CFO/Business Manager 402-398-9243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207T00000X Neurological Surgery | |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2023-08-21 |