| NPI | 1639168206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY L RIVERA Office Manager 308-382-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2007-10-03 |