| NPI | 1992741300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R JAMES SORRELL Board President 402-465-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NE ASC011) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2018-08-17 |