State University of Iowa

NPI #1013965334 in Perry, Iowa

Provider Information

NPI Number: 1013965334
Entity Type: Organization
Organization Name: State University of Iowa
Primary Specialty: Family Medicine
Enumeration Date: May 5, 2006
Last Updated: Jul 7, 2009

Practice Location

Address: 616 10TH ST
City: Perry
State: Iowa
ZIP Code: 50220-2221
Phone: (515) 465-3553

Authorized Official

Name: KENNETH L FISHER
Title: CFO
Phone: (319) 384-2844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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