| NPI | 1922270354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J HEIDEN Office Manager 402-484-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207SC0300X Medical Genetics Clinical Cytogenetics (Licence: NE 17436) |
| Additional Taxonomies | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: NE 17436) |
| 208000000X Pediatrics (Licence: NE 17436) | |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2014-02-28 |