Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 3410 | IA |
NPI | 1053361972 |
---|---|
Provider Name | Matthew L Hill |
First Address | Des Moines, IA 50309 |
Second Address | Des Moines, IA 50309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 24/12/2020 |