State University of Iowa

NPI #1972588465 in Muscatine, Iowa

Provider Information

NPI Number: 1972588465
Entity Type: Organization
Organization Name: State University of Iowa
Subpart: Yes (part of a larger organization)
Parent Organization: STATE UNIVERSITY OF IOWA
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Dec 7, 2005
Last Updated: Apr 24, 2024

Practice Location

Address: 3465 MULBERRY AVE
City: Muscatine
State: Iowa
ZIP Code: 52761-2324
Phone: (563) 262-9303

Authorized Official

Name: MR. JOE M MCKELVEY JR.
Title: SR DIRECTOR OF GOVERNMENT REIMB
Phone: (319) 467-8549

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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