| NPI | 1699013284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH VANDER POL Physician/President 402-890-0449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 815) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-01-16 |