| NPI | 1225125057 |
|---|---|
| Doing Business As | METHODIST PHYSICIANS CLINIC |
| Entity Type | Organization |
| Authorized Contact | TODD D. GRAGES Credentialing Representative 402-354-5601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |