State University of Iowa

NPI #1982353785 in Riverside, Iowa

Provider Information

NPI Number: 1982353785
Entity Type: Organization
Organization Name: State University of Iowa
Primary Specialty: Clinic/Center - Rural Health
Enumeration Date: Mar 21, 2022
Last Updated: Mar 21, 2022

Practice Location

Address: 3056 RIVER CROSSING CT
City: Riverside
State: Iowa
ZIP Code: 52327-4733
Phone: (319) 467-8355

Authorized Official

Name: DR. JAY BROOKS JACKSON, MD
Title: VP FOR MEDICAL AFFAIRS
Phone: (319) 335-8064

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rural Health — Rural Health	261QR1300X	Primary

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