Organization
MATTHEW J SMITH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J SMITH MD (OWNER)
(319) 235-3568
Entity
Organization
Contact information
Practice address
1753 W RIDGEWAY AVE STE 103A, WATERLOO, IA 50701-4521
(319) 235-3568
Mailing address
PO BOX 2818, WATERLOO, IA 50704-2818
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
05/14/2020
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