| NPI | 1659568475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON K MCGINN Office Manager 402-421-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NE 16187) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-09-25 |