| NPI | 1356981492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA SOUDER Vice President 402-292-4164 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology |
| 208600000X Surgery | |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |