Individual
MATTHEW DUANE BROCKWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242
(319) 384-7354
(319) 384-7286
Mailing address
601 HIGHWAY 6 W, IOWA CITY, IA 52246-2209
(319) 338-0581
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D120684
IA
390200000X
Student in an Organized Health Care Education/Training Program
120684
IA
Other
Enumeration date
03/25/2016
Last updated
07/18/2018
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