| NPI | 1366513517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYNNE RENEA PARKER Clinic Coordinator 402-572-3529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NE 22157) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NE 15291) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NE 13385) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NE 20876) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NE 21140) | |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2008-04-20 |