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Contact Information

MATTHEW IWAMOTO, MD
222 N 7TH ST
BISMARCK, ND58501-4436
 Phone: 701-323-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for MATTHEW IWAMOTO · (Male)

NPI Number 1073547014
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2006
Last updated 02/07/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G56369
  • CA Medicaid 00G563690
  • CA Other 00G563690 BLUE SHIELD
Hospital affiliation(s)
  • JACOBSON MEMORIAL HOSPITAL & CARE CENTER - (Critical Access)
    601 EAST ST N
    ELGIN, ND 58533
  • LINTON HOSPITAL - CAH - (Critical Access)
    518 NORTH BROADWAY
    LINTON, ND 58552
  • MCKENZIE COUNTY HEALTHCARE SYSTEMS - (Critical Access)
    516 NORTH MAIN ST
    WATFORD CITY, ND 58854
  • MEDCENTER ONE - (Acute Care)
    300 N 7TH ST
    BISMARCK, ND 58506
  • ST ALEXIUS MEDICAL CENTER - (Acute Care)
    900 E BROADWAY
    BISMARCK, ND 58501
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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