State University of Iowa

NPI #1114323599 in Iowa City, Iowa

Provider Information

NPI Number
1114323599
Entity Type
Organization
Organization Name
State University of Iowa
Primary Specialty
Eyewear Supplier
Enumeration Date
Nov 12, 2014
Last Updated
Mar 26, 2015

Practice Location

Address
200 HAWKINS DR
Address 2
21000B PFP
State
Iowa
ZIP Code
52242-1009
Phone
(319) 384-9922

Authorized Official

Name
MARK E WILKINSON, OD
Title
OPTICIAN
Phone
(319) 356-8301

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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