NPI | 1972703023 |
---|---|
Entity Type | Organization |
Authorized Contact | DELWYN J NAGENGAST Owner 402-373-4341 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 9951) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NE 9951) |
Enumeration Date | 2007-07-18 |
Last Update Date | 2008-04-20 |