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Organization
STATE UNIVERSITY OF IOWA
Active
Organization
STATE UNIVERSITY OF IOWA
Active
Other names
UI QUICKCARE - CORALVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP E ROUDABUSH (DIRECTOR, PFS)
(319) 384-2334
Entity
Organization
Contact information
Practice address
2510 CORRIDOR WAY, SUITE 6A, CORALVILLE, IA 52241-7604
(319) 384-8500
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/09/2010
Last updated
03/05/2012
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