| NPI | 1548710775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATE KREIFELS Authorized Official 402-465-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |