Individual
DOMINIC OMAR BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7500 MERCY RD STE 3000, OMAHA, NE 68124-2319
(402) 280-4194
Mailing address
7710 MERCY RD STE 202, OMAHA, NE 68124-2353
(402) 280-4194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
V4336
TX
207RI0200X
Infectious Disease Physician
10307
NE
Other
Enumeration date
04/28/2021
Last updated
07/14/2025
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