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Organization

STATE UNIVERSITY OF IOWA

Active
Parent organization
STATE UNIVERSITY OF IOWA
Other names
UIHC Audiologist Group
Organization subpart
Yes

Provider details

NPI number
Legal business name
STATE UNIVERSITY OF IOWA
Authorized official
DR. BRUCE J GANTZ MD (MD, SUPERVISING PHYSICIAN)
(319) 356-2173
Entity
Organization

Contact information

Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2222
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2222

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary

Other

Enumeration date
12/13/2017
Last updated
12/13/2017
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