State University of Iowa

NPI #1609191238 in Muscatine, Iowa

Provider Information

NPI Number: 1609191238
Entity Type: Organization
Organization Name: State University of Iowa
Primary Specialty: Family Medicine
Enumeration Date: Apr 7, 2010
Last Updated: Mar 1, 2012

Practice Location

Address: 3465 MULBERRY AVE
City: Muscatine
State: Iowa
ZIP Code: 52761-2324
Phone: (319) 356-4400

Authorized Official

Name: PHILIP E ROUDABUSH
Title: DIRECTOR, PATIENT FINANCIAL SERVICE
Phone: (319) 384-2334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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