Organization
BOTT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW S BOTT MD (PRESIDENT)
(402) 779-8400
Entity
Organization
Contact information
Practice address
11810 NICHOLAS ST STE 101, OMAHA, NE 68154-4414
(402) 779-8400
(402) 779-8401
Mailing address
11810 NICHOLAS ST STE 101, OMAHA, NE 68154-4414
(402) 779-8400
(402) 779-8401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/08/2015
Last updated
05/22/2019
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