| NPI | 1306996152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCI J VIEYRA Billing Manager 402-978-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NE 195) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |