Individual
DR. MATHEW ALAN DAVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12910 PIERCE ST STE 120, OMAHA, NE 68144-1106
(402) 933-3770
(402) 916-4662
Mailing address
12910 PIERCE ST, STE 120, OMAHA, NE 68144-1106
(402) 933-3770
(402) 916-4662
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
26281
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100263840-00
—
NE
05
—
1497182273
—
IA
01
—
PENDING
RR MEDICARE
IA
01
—
PENDING
RR MEDICARE
NE
Enumeration date
05/09/2008
Last updated
07/21/2022
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