| NPI | 1831125418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH L BLAD M.D./CEO 402-745-1145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2024-06-25 |