| NPI | 1316135221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN RENAE CORFIELD Assistant Office Manager 308-534-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 19182) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2009-07-28 |