| NPI | 1336932797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH D DOMINGUEZ Resident 402-596-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2025-06-03 |