| NPI | 1780039354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY ANN LAMAR Medical Billing Manager 402-884-3971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NE 21621) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 21621) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-07-06 |