| NPI | 1619244464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HERMAN Billing Office Manager 308-436-7562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NE 22469) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2011-11-22 |