| NPI | 1447334297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY K DOBISH Administrator 308-865-2141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2015-01-26 |