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Individual

MR. W MATTHEW STRAYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM D, R. PH.

Contact information

Practice address
601 HIGHWAY 218 N, LA PORTE CITY, IA 50651-1012
(319) 342-3620
(319) 342-3617
Mailing address
3421 W 9TH ST, WATERLOO, IA 50702-5401
(319) 272-7600
(319) 272-7597

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19203
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8375
IA
05
8383
IA
05
8409
IA
Enumeration date
05/21/2007
Last updated
07/08/2007
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