Individual provider · NPI-1

Matthew Abendroth

Family Medicine · Des Moines, IA

NPI number1972918894
StatusActive
Last updated in NPPESDec 14, 2020

Details

NPI
1972918894
Entity type
Individual (NPI-1)
Name
Matthew Abendroth
Sex
Male
Sole proprietor
No
Enumeration date
Jun 30, 2014
Certification date
Dec 14, 2020
Last updated
Dec 14, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineDO-04750IAYes
207Q00000X Family MedicineR-10100IA

Practice location

3709 Southern Hills Dr
Des Moines, IA 50321-1324

Phone 515-400-4865 · Fax 515-497-4062

Mailing address

3709 Southern Hills Dr
Des Moines, IA 50321-1324

Phone 515-434-3054 · Fax 515-497-4062

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