Individual
MATTHEW FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 643-4610
(515) 643-4662
Mailing address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 643-4610
(515) 643-4662
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R10681
IA
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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