| NPI | 1750802203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK ALAN SCHOLL Owner & President 402-843-6910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NE 1839) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2021-03-09 |