NPI | 1588220230 |
---|---|
Entity Type | Organization |
Authorized Contact | LEROY H CARHART VP/ Medical Director 402-292-4164 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
208600000X Surgery | |
Enumeration Date | 2019-05-17 |
Last Update Date | 2019-05-17 |