| NPI | 1841737418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY KAY DOBISH Administrator 308-865-2141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 208600000X Surgery | |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |