| NPI | 1548269368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD DISCOE Owner 402-564-2816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2024-11-20 |