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1184655904
MATTHEW MICHAEL OTIS
ANKENY, IA
NPI
1184655904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA DO-03731)
Enumeration Date
2006-07-06
Last Update Date
2024-01-02
Business Address
DR. MATTHEW MICHAEL OTIS DO
1410 SW TRADITION DR STE 110
ANKENY, IA 50023
Phone number: 515-875-9696
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Mailing Address
DR. MATTHEW MICHAEL OTIS DO
PO BOX 424
DES MOINES, IA 50302-0424
Phone number: 515-875-9255
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