State University of Iowa
NPI #1700835865 in Centerville, Iowa
Provider Information
- NPI Number
- 1700835865
- Entity Type
- Organization
- Organization Name
- State University of Iowa
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 8, 2006
- Last Updated
- Jul 7, 2009
Practice Location
- Address
- 19876 ST. JOSEPH DRIVE
- City
- Centerville
- State
- Iowa
- ZIP Code
- 52544
- Phone
- (641) 856-8684
Authorized Official
- Name
- KENNETH L FISHER
- Title
- CFO
- Phone
- (319) 384-2844
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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