| NPI | 1922055953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL SWANSON Practice Administrator 308-865-2570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207QS0010X Family Medicine Sports Medicine |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2017-07-06 |