| NPI | 1861941999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE NOVACEK Office Manager 308-237-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2023-12-07 |