| NPI | 1891866562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYNNE RENEA PARKER Clinic Coordinator 402-572-3529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IA 32052) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IA 23365) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IA 32519) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IA 33127) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IA 23373) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-09-04 |