State University of Iowa
NPI #1114390358 in Cedar Rapids, Iowa
Provider Information
- NPI Number
- 1114390358
- Entity Type
- Organization
- Organization Name
- State University of Iowa
- Primary Specialty
- Surgery - Plastic and Reconstructive Surgery
- Enumeration Date
- Nov 10, 2015
- Last Updated
- Jan 4, 2016
Practice Location
- Address
- 3705 RIVER RIDGE DR NE
- City
- Cedar Rapids
- State
- Iowa
- ZIP Code
- 52402-7596
- Phone
- (319) 393-1902
Authorized Official
- Name
- PHILIP E ROUDABUSH
- Title
- DIRECTOR, PATIENT FINANCIAL SERVICE
- Phone
- (319) 384-2334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
| Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery |
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