Individual
BRUCE JAY BOTTLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 NORTH COLORADO AVENUE, HASTINGS, NE 68901-5251
(402) 705-2374
Mailing address
501 NORTH COLORADO AVENUE, HASTINGS, NE 68901-5251
(402) 705-2374
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15311
NE
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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