Prairie Surgical Associates P C

NPI #1962697300 in Lincoln, Nebraska

Provider Information

NPI Number: 1962697300
Entity Type: Organization
Organization Name: Prairie Surgical Associates P C
Primary Specialty: Specialist
Enumeration Date: Sep 10, 2007
Last Updated: Sep 10, 2007

Practice Location

Address: 1919 S 40TH ST
Address 2: SUITE 107
City: Lincoln
State: Nebraska
ZIP Code: 68506-5258
Phone: (402) 486-3400

Authorized Official

Name: DR. KEVIN R MOTA, M.D.
Title: PRESIDENT
Phone: (402) 486-3400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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