# STATE UNIVERSITY OF IOWA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UI Family Care Perry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013965334
- **Authorized official:** KENNETH L FISHER (CFO)
- **Authorized official phone:** (319) 384-2844

## Contact information

- **Practice address:** 616 10TH ST, PERRY, IA 50220-2221
- **Practice address phone:** (515) 465-3553
- **Mailing address:** 2941 SIERRA CT SW, IOWA CITY, IA 52240-8503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 07/07/2009