| NPI | 1407087489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA L WISDOM CFO 402-609-1002 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2021-01-07 |