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Organization

STATE UNIVERSITY OF IOWA

Active
Other names
UI QUICKCARE - MORMON TREK
Organization subpart
No

Provider details

NPI number
Authorized official
PHILIP E ROUDABUSH (DIRECTOR, PATIENT FINANCIAL SERVICE)
(318) 384-2334
Entity
Organization

Contact information

Practice address
767 MORMON TREK BLVD, IOWA CITY, IA 52246-1812
(319) 384-8333
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
04/09/2012
Last updated
04/09/2012
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