Individual
DR. ROGER MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 S 70TH ST, LINCOLN, NE 68506-4658
(402) 489-0338
(402) 489-0431
Mailing address
4000 S 70TH ST, LINCOLN, NE 68506-4658
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14195
NE
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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