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Individual

DR. MATTHEW DENNIS BOGARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
983075 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-3075
(402) 559-7200
Mailing address
9609 N 29TH ST, OMAHA, NE 68112-1523
(402) 690-6604

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
26236
NE
207P00000X
Emergency Medicine Physician
40195
IA
207Q00000X
Family Medicine Physician
6219
NE

Other

Enumeration date
05/12/2010
Last updated
01/07/2020
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