# MATTHEW SMITH MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154072379
- **Authorized official:** MATTHEW SMITH (MD)
- **Authorized official phone:** (319) 235-3568

## Contact information

- **Practice address:** 1753 W RIDGEWAY AVE STE 103A, WATERLOO, IA 50701-4521
- **Practice address phone:** (319) 235-3568
- **Practice address fax:** (319) 235-5013
- **Mailing address:** PO BOX 2818, WATERLOO, IA 50704-2818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/11/2022
- **Last updated:** 01/11/2022