NPI | 1801831268 |
---|---|
Entity Type | Organization |
Authorized Contact | JOEL MASON GUSTAFSON Administrator 402-441-4760 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine |
Enumeration Date | 2006-06-19 |
Last Update Date | 2019-02-12 |