Individual
DR. MATHEW JAMES JOHNSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(152) 711-1731
(515) 271-1714
Mailing address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(152) 711-1731
(515) 271-1714
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
108136
IA
213EP0504X
Public Medicine Podiatrist
415300059
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518327089
—
IA
Enumeration date
02/26/2016
Last updated
06/09/2022
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