| NPI | 1831205152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRAL VARHAN Medical Director 308-381-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NE ASC033) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2008-05-02 |