| NPI | 1871793158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT W BLAKELY Owner 308-234-9615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NE 19423) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-08-03 |