| NPI | 1932889920 |
|---|---|
| Doing Business As | WEST OMAHA DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | LAURA-CATHERINE VARGO Owner 402-281-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |