State University of Iowa

NPI #1063693703 in Iowa City, Iowa

Provider Information

NPI Number: 1063693703
Entity Type: Organization
Organization Name: State University of Iowa
Primary Specialty: Family Medicine
Enumeration Date: Nov 23, 2007
Last Updated: Sep 18, 2015

Practice Location

Address: 201 S CLINTON ST
Address 2: ST 168
City: Iowa City
State: Iowa
ZIP Code: 52240-4034
Phone: (319) 384-8877

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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