| NPI | 1417908666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW M GLENN President 402-423-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2022-08-30 |