Organization
STATE UNIVERSITY OF IOWA
Active
Other names
UI Family Care Lone Tree
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI A STECKROTH (DIRECTOR JOPFS)
(319) 356-3486
Entity
Organization
Contact information
Practice address
109 W JAYNE ST, LONE TREE, IA 52755-7771
(319) 629-4214
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0223545
—
IA
01
—
CH4836
RR MEDICARE
IA
Enumeration date
05/09/2006
Last updated
12/30/2009
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