| NPI | 1508006263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN PATRICK YORK Owner 402-558-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NE 215) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NE 215) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2010-05-19 |