NPI | 1326233545 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY DEROUCHEY Practice Manager 402-330-0444 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 14017) |
Enumeration Date | 2007-09-11 |
Last Update Date | 2008-08-07 |