Organization
STATE UNIVERSITY OF IOWA
Active
Other names
Plastic & Reconstructive Surgery Consultants of University of Iowa
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
3705 RIVER RIDGE DR NE, CEDAR RAPIDS, IA 52402-7596
(319) 393-1902
Mailing address
3705 RIVER RIDGE DR NE, CEDAR RAPIDS, IA 52402-7596
(319) 393-1902
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
11/10/2015
Last updated
01/04/2016
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