# STATE UNIVERSITY OF IOWA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UI QuickCare-North Liberty
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497198279
- **Authorized official:** PHILIP E ROUDABUSH (DIRECTOR, PATIENT FINANCIAL SERVICE)
- **Authorized official phone:** (319) 384-2334

## Contact information

- **Practice address:** 720 PACHA PKWY, STE 1, NORTH LIBERTY, IA 52317-4797
- **Practice address phone:** (319) 384-8801
- **Mailing address:** 720 PACHA PKWY, STE 1, NORTH LIBERTY, IA 52317-4797
- **Mailing address phone:** (319) 384-8801

## Taxonomy

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

## Other

- **Enumeration date:** 04/11/2013
- **Last updated:** 06/12/2013