Individual
MATTHEW DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
7710 MERCY RD STE 202, OMAHA, NE 68124-2353
(402) 717-4900
Mailing address
7710 MERCY RD STE 202, OMAHA, NE 68124-2353
(402) 280-4669
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8218
NE
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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