NPI | 1285823773 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDITH KAY DEGRAFF M.D. 402-440-8636 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NE 20093) |
Enumeration Date | 2007-10-19 |
Last Update Date | 2010-12-21 |