| NPI | 1194001057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES P DEVNEY President 402-502-9877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2022-09-13 |