State University of Iowa

NPI #1548526189 in Iowa City, Iowa

Provider Information

NPI Number: 1548526189
Entity Type: Organization
Organization Name: State University of Iowa
Primary Specialty: Family Medicine
Enumeration Date: Apr 9, 2012
Last Updated: Apr 9, 2012

Practice Location

Address: 767 MORMON TREK BLVD
City: Iowa City
State: Iowa
ZIP Code: 52246-1812
Phone: (319) 384-8333

Authorized Official

Name: PHILIP E ROUDABUSH
Title: DIRECTOR, PATIENT FINANCIAL SERVICE
Phone: (318) 384-2334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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