| NPI | 1427056100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDY STOCKTON Practice Administrator 402-343-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NE ASC038) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2007-11-02 |