| NPI | 1225121916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D DEWALD Manager 402-484-4475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |