State University of Iowa
NPI #1861885071 in Coralville, Iowa
Provider Information
- NPI Number
- 1861885071
- Entity Type
- Organization
- Organization Name
- State University of Iowa
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Mar 12, 2015
- Last Updated
- Mar 12, 2015
Practice Location
- Address
- 105 E 9TH ST
- Address 2
- STE 2400
- City
- Coralville
- State
- Iowa
- ZIP Code
- 52241-2209
- Phone
- (319) 467-2125
Authorized Official
- Name
- DR. MARK E WILKINSON, OD
- Title
- OPTICIAN
- Phone
- (319) 467-2125
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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