| NPI | 1255224747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA J MCCRERY President 402-397-7989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 2088F0040X Urology Female Pelvic Medicine and Reconstructive Surgery |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-06-29 |