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Organization

STATE UNIVERSITY OF IOWA

Active
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Organization

STATE UNIVERSITY OF IOWA

Active
Other names
UI Health Care River Crossing
Organization subpart
No

Provider details

NPI number
Authorized official
PHILIP E ROUDABUSH (DIRECTOR, PATIENT FINANCIAL SERVICE)
(319) 384-2334
Entity
Organization

Contact information

Practice address
3056 RIVER CROSSING COURT, RIVERSIDE, IA 52327-4727
(319) 467-8355
(319) 467-8351
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1007

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—

Other

Enumeration date
02/03/2010
Last updated
03/01/2012
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