State University of Iowa

NPI #1215681283 in Cedar Rapids, Iowa

Provider Information

NPI Number
1215681283
Entity Type
Organization
Organization Name
State University of Iowa
Subpart
Yes (part of a larger organization)
Parent Organization
STATE UNIVERSITY OF IOWA
Primary Specialty
Clinic/Center - Urgent Care
Enumeration Date
Feb 9, 2022
Last Updated
Feb 9, 2022

Practice Location

Address
411 10TH ST SE STE 2300
State
Iowa
ZIP Code
52403-2467
Phone
(319) 731-1430

Authorized Official

Name
DR. JAY BROOKS JACKSON, MD
Title
VP FOR MEDICAL AFFAIRS
Phone
(319) 335-8064

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Urgent CareUrgent Care

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