| NPI | 1407992241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY S HARMON Md 402-397-7057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: NE ASC054) |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2024-05-08 |