| NPI | 1578546750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY SPEICHER Administrator 308-865-2263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2009-11-05 |