Organization
NEBRASKA UROLOGY CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE K STROMER (CREDENTIALER)
(402) 462-5109
Entity
Organization
Contact information
Practice address
614 S MAIN ST, SMITH COUNTY MEMORIAL HOSPITAL, SMITH CENTER, KS 66967-3001
(402) 462-5109
Mailing address
2115 N KANSAS AVE STE 201, NEBRASKA UROLOGY CENTER, HASTINGS, NE 68901-2636
(402) 462-5109
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
0420442
KS
208800000X
Urology Physician
Primary
0423520
KS
363AM0700X
Medical Physician Assistant
1500834
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100203450B
—
KS
Enumeration date
09/13/2007
Last updated
09/05/2008
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