Individual
MATTHEW K WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1105 N ANKENY BLVD STE 100, ANKENY, IA 50023-4003
(515) 964-4600
(515) 963-4142
Mailing address
1105 N ANKENY BLVD STE 100, ANKENY, IA 50023-4003
(515) 964-4600
(515) 963-4142
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-03820
IA
207Q00000X
Family Medicine Physician
R7929
IA
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
DO-03820
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891884029
—
IA
01
—
P01437244
RR MEDICARE
IA
Enumeration date
10/12/2006
Last updated
05/06/2015
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