State University of Iowa

NPI #1013241850 in Iowa City, Iowa

Provider Information

NPI Number: 1013241850
Entity Type: Organization
Organization Name: State University of Iowa
Primary Specialty: Family Medicine
Enumeration Date: Sep 28, 2009
Last Updated: Dec 9, 2015

Practice Location

Address: 1632 SYCAMORE ST
City: Iowa City
State: Iowa
ZIP Code: 52240-6044
Phone: (319) 384-8822

Authorized Official

Name: PHILIP E ROUDABUSH
Title: DIRECTOR, PATIENT FINANCIAL SERVICE
Phone: (319) 384-2334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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