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State University of Iowa

NPI #1730137050 in Marengo, Iowa

Provider Information

NPI Number
1730137050
Entity Type
Organization
Organization Name
State University of Iowa
Primary Specialty
Family Medicine
Enumeration Date
May 5, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
255 W LUCAS ST
City
Marengo
State
Iowa
ZIP Code
52301-1331
Phone
(319) 642-5213

Authorized Official

Name
TERRY PROTEXTOR
Title
EXECUTIVE DIRECTOR
Phone
(319) 337-7642

Specialties & Taxonomy Codes

Specialty
Family Medicine

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