| NPI | 1700909488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK EDWIN BOLTON President 308-398-5450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NE 18773) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |