| NPI | 1477151603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WATERS Authorized Official 402-751-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2022-07-07 |