| NPI | 1619023496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALAN BIANCHI Medical Director 308-388-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: MD A1239) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2008-02-01 |