State University of Iowa
NPI #1184673972 in North Liberty, Iowa
Provider Information
- NPI Number
- 1184673972
- Entity Type
- Organization
- Organization Name
- State University of Iowa
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 9, 2006
- Last Updated
- Mar 1, 2012
Practice Location
- Address
- 3 LIONS DR
- City
- North Liberty
- State
- Iowa
- ZIP Code
- 52317-9575
- Phone
- (319) 626-5680
Authorized Official
- Name
- PHILIP E ROUDABUSH
- Title
- DIRECTOR, PATIENT FINANCIAL SERVICE
- Phone
- (319) 384-2334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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