| NPI | 1912005109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY SW BASLER Owner/Physician 402-421-3335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| 207ND0900X Dermatology Dermatopathology | |
| 207NP0225X Dermatology Pediatric Dermatology | |
| 207NS0135X Dermatology Procedural Dermatology | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-04-28 |