| NPI | 1366640591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE K STROMER Credentialor 402-462-5109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NE 12839) |
| Additional Taxonomies | 208800000X Urology (Licence: NE 20214) |
| 363A00000X Physician Assistant (Licence: NE 914) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2010-09-20 |