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 |