| NPI | 1891803300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOHN GOC President 402-778-9738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| 207L00000X Anesthesiology | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2008-04-23 |