Individual
MATTHEW S. BOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11810 NICHOLAS ST STE 101, OMAHA, NE 68154-4414
(402) 779-8400
(402) 779-8401
Mailing address
11810 NICHOLAS ST STE 101, OMAHA, NE 68154-4414
(402) 779-8400
(402) 779-8401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22907
NE
Other
Enumeration date
08/08/2006
Last updated
05/22/2019
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