| NPI | 1376831362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA M NELSON Owner 402-421-3335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2012-05-02 |