| NPI | 1477889129 |
|---|---|
| Doing Business As | PPA CLINIC FOR GOP |
| Entity Type | Organization |
| Authorized Contact | ANN F ASHFORD Director And Corporate Counsel 402-552-3377 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2009-10-29 |