State University of Iowa
NPI #1225177579 in Council Bluffs, Iowa
Provider Information
- NPI Number
- 1225177579
- Entity Type
- Organization
- Organization Name
- State University of Iowa
- Primary Specialty
- Registered Nurse - Pediatrics
- Enumeration Date
- Feb 5, 2007
- Last Updated
- Mar 1, 2012
Practice Location
- Address
- 3501 HARRY LANGDON BLVD STE 1450
- Address 2
- CHILD HEALTH SPECIALTY CLINICS
- City
- Council Bluffs
- State
- Iowa
- ZIP Code
- 51503-7837
- Phone
- (712) 309-0041
Authorized Official
- Name
- PHILIP E ROUDABUSH
- Title
- DIRECTOR, PATIENT FINANCIAL SERVICE
- Phone
- (319) 384-2334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Pediatrics — Pediatrics |
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