| NPI | 1306315106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD E VAN CLEAVE Vice President Finance 402-562-3357 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2021-10-29 |