| NPI | 1730230590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCI J VIEYRA Billing Manager 402-978-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: NE 16930) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |