# STATE UNIVERSITY OF IOWA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mission Cancer and Blood University of Iowa Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104295823
- **Authorized official:** MR. JOE M MCKELVEY JR. (SR DIRECTOR OF GOVT REIMBURSEMENT)
- **Authorized official phone:** (319) 467-8549

## Contact information

- **Practice address:** 411 LAUREL ST, SUITE 300A, DES MOINES, IA 50314-3017
- **Practice address phone:** (515) 247-3970
- **Practice address fax:** (515) 663-8819
- **Mailing address:** 411 LAUREL ST STE A300, DES MOINES, IA 50314-3030
- **Mailing address phone:** (515) 282-2921
- **Mailing address fax:** (515) 663-8819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | IA | Yes |

## Other

- **Enumeration date:** 09/23/2015
- **Last updated:** 01/14/2025