Organization
STATE UNIVERSITY OF IOWA
Active
Other names
UI Medical Oncology Hematology - Ottumwa
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP E ROUDABUSH (DIRECTOR,PATIENT FINANCIAL SERVICES)
(319) 384-2334
Entity
Organization
Contact information
Practice address
1003 PENNSYLVANIA AVE, OTTUMWA, IA 52501-2108
(641) 682-2514
(641) 226-5024
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1007
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0191536
—
IA
01
—
CG9853
RR MEDICARE
IA
Enumeration date
05/05/2006
Last updated
03/01/2012
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