| NPI | 1639365299 |
|---|---|
| Doing Business As | STEVENS CREEK FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | REX KENT RECKEWEY CEO 402-421-0896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2012-03-12 |