Organization
MATTHEW SMITH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW SMITH (MD)
(319) 235-3568
Entity
Organization
Contact information
Practice address
1753 W RIDGEWAY AVE STE 103A, WATERLOO, IA 50701-4521
(319) 235-3568
(319) 235-5013
Mailing address
PO BOX 2818, WATERLOO, IA 50704-2818
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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