| NPI | 1952573081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALLACE E DUFF Doctor/President/Owner 402-393-1454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NE 11860) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |