NPI | 1508979899 |
---|---|
Doing Business As | CALLAWAY HOSPITAL PROFESSIONAL SERVICES |
Entity Type | Organization |
Authorized Contact | BRETT D EGGLESTON CEO 308-836-2228 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2006-08-17 |
Last Update Date | 2019-01-16 |