State University of Iowa

NPI #1306920103 in Perry, Iowa

Provider Information

NPI Number: 1306920103
Entity Type: Organization
Organization Name: State University of Iowa
Primary Specialty: Clinic/Center - Rural Health
Enumeration Date: Oct 25, 2006
Last Updated: Jul 7, 2009

Practice Location

Address: 616 10TH ST
City: Perry
State: Iowa
ZIP Code: 50220-2221
Phone: (515) 465-3553

Authorized Official

Name: KENNETH L. FISHER
Title: CFO
Phone: (319) 384-2844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rural Health — Rural Health	261QR1300X	Primary

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