| NPI | 1578869012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY S CARSON Administor 402-398-6176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NE 24323) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-06-02 |