| NPI | 1467580019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL POWERS Owner 402-331-6387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NE ASC044) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2015-04-30 |