| NPI | 1528026788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE GAIL PERRY Business Office Manager 402-758-5211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-08-22 |