Individual
MATTHEW JAMES WITTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7215 ONTARIO ST, OMAHA, NE 68124-3574
(531) 999-7120
Mailing address
1650 S TOPAZ WAY, MERIDIAN, ID 83642-4474
(208) 605-7070
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
1846
NE
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
1846
NE
Other
Enumeration date
04/16/2013
Last updated
03/02/2023
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