| NPI | 1699730663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE HARTMAN Billing Admin 402-934-9840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NE 19980) |
| Additional Taxonomies | 208600000X Surgery (Licence: NE 19739) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2020-08-22 |