NPI 1346877552

Matthew J Smith

Organisation Family Medicine Physician Waterloo, IA

Practice location

Address: 1753 W Ridgeway Ave STE 103a, Waterloo, IA 50701-4521
Phone: (319) 235-3568
Mailing address: PO Box 2818, Waterloo, IA 50704-2818

Authorised official

Name: Matthew J Smith
Title: Owner
Phone: (319) 235-3568

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Iowa →

Registry record

NPI: 1346877552
Entity type: Organization
NPI issued: 26 Mar 2020
Record last updated: 14 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.