| NPI | 1750958369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EUGENE WATERS Authorized Official 402-463-1355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2021-06-10 |