State University of Iowa

NPI #1700834298 in Wapello, Iowa

Provider Information

NPI Number: 1700834298
Entity Type: Organization
Organization Name: State University of Iowa
Primary Specialty: Family Medicine
Enumeration Date: May 5, 2006
Last Updated: Mar 1, 2012

Practice Location

Address: 218 N 2ND ST
City: Wapello
State: Iowa
ZIP Code: 52653-1202
Phone: (319) 523-8205

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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