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1083066690
MATTHEW FERGUSON
DES MOINES, IA
NPI
1083066690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA R10681)
Enumeration Date
2016-07-07
Last Update Date
2016-07-07
Business Address
-- MATTHEW FERGUSON DO
1111 6TH AVE
DES MOINES, IA 50314-2613
Phone number: 515-643-4610
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Mailing Address
-- MATTHEW FERGUSON DO
1111 6TH AVE
DES MOINES, IA 50314-2613
Phone number: 515-643-4610
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