| NPI | 1699746248 |
|---|---|
| Doing Business As | BRODSTONE FAMILY MEDICAL CENTER - EDGAR |
| Doing Business As | EDGAR MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | TREG VYZOUREK CEO 402-879-3281 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2022-03-23 |