| NPI | 1497083422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON R. GOLDSMITH Physician 402-933-8540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center Podiatric (Licence: NE 304) |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2012-01-13 |