State University of Iowa
NPI #1497198279 in North Liberty, Iowa
Provider Information
- NPI Number
- 1497198279
- Entity Type
- Organization
- Organization Name
- State University of Iowa
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 11, 2013
- Last Updated
- Jun 12, 2013
Practice Location
- Address
- 720 PACHA PKWY
- Address 2
- STE 1
- City
- North Liberty
- State
- Iowa
- ZIP Code
- 52317-4797
- Phone
- (319) 384-8801
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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