Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 40258 | IA |
N | 207W00000X | Ophthalmologist | R-8531 | IA |
NPI | 1023251881 |
---|---|
Provider Name | Dr. Matthew S Ward |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2009 |
Last Update Date | 25/06/2012 |