| NPI | 1770778318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM KNOWLES-SEGURA Office Manager 402-333-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NE 20827) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2010-09-27 |