# NEBRASKA UROLOGY CENTER, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205021102
- **Authorized official:** SUE K STROMER (CREDENTIALER)
- **Authorized official phone:** (402) 462-5109

## Contact information

- **Practice address:** 614 S MAIN ST, SMITH COUNTY MEMORIAL HOSPITAL, SMITH CENTER, KS 66967-3001
- **Practice address phone:** (402) 462-5109
- **Mailing address:** 2115 N KANSAS AVE STE 201, NEBRASKA UROLOGY CENTER, HASTINGS, NE 68901-2636
- **Mailing address phone:** (402) 462-5109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 0420442 | KS | — |
| 208800000X | Urology Physician | 0423520 | KS | Yes |
| 363AM0700X | Medical Physician Assistant | 1500834 | KS | — |

## Other

- **Enumeration date:** 09/13/2007
- **Last updated:** 09/05/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100203450B | — | KS |
