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Organization

STATE UNIVERSITY OF IOWA

Active
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Organization

STATE UNIVERSITY OF IOWA

Active
Other names
UIeCare
Organization subpart
No

Provider details

NPI number
Authorized official
PHILIP E ROUDABUSH (DIRECTOR, PATIENT FINANCIAL SERVICE)
(319) 353-8820
Entity
Organization

Contact information

Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 467-8584
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 467-8584

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
03/09/2017
Last updated
03/09/2017
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