State University of Iowa
NPI #1033424650 in Coralville, Iowa
Provider Information
- NPI Number
- 1033424650
- Entity Type
- Organization
- Organization Name
- State University of Iowa
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 9, 2010
- Last Updated
- Mar 5, 2012
Practice Location
- Address
- 2510 CORRIDOR WAY
- Address 2
- SUITE 6A
- City
- Coralville
- State
- Iowa
- ZIP Code
- 52241-7604
- Phone
- (319) 384-8500
Authorized Official
- Name
- PHILIP E ROUDABUSH
- Title
- DIRECTOR, PFS
- Phone
- (319) 384-2334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Family Medicine |
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