MD West One, PC
Neurological Surgery in Shenandoah, IA. Organization (NPI-2).
NPI number1154621282
StatusActive
Last updated in NPPESNov 21, 2019
Details
- NPI
- 1154621282
- Entity type
- Organization (NPI-2)
- Legal business name
- MD West One, PC
- Organization subpart
- No
- Enumeration date
- Oct 22, 2010
- Last updated
- Nov 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | – | – | Yes |
Practice location
1 Jack Foster DriveShenandoah, IA 51601
Phone 712-246-7240
Mailing address
8005 Farnam DrSuite 305
Omaha, NE 68114
Phone 402-398-9243 · Fax 402-398-9253
Authorized official
Lori Hill
Operations Manager
4023989243
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