State University of Iowa

NPI #1477554814 in Iowa City, Iowa

Provider Information

NPI Number: 1477554814
Entity Type: Organization
Organization Name: State University of Iowa
Subpart: Yes (part of a larger organization)
Parent Organization: STATE UNIVERSITY OF IOWA
Primary Specialty: Family Medicine
Enumeration Date: Aug 9, 2005
Last Updated: Apr 30, 2024

Practice Location

Address: 200 HAWKINS DR
City: Iowa City
State: Iowa
ZIP Code: 52242
Phone: (319) 356-1616

Authorized Official

Name: DOUGLAS J VANDAELE, MD
Title: ASSOCIATE DEAN
Phone: (319) 353-8162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Pediatrics	208000000X
Surgery	208600000X
Family Medicine	207Q00000X	Primary

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