Individual
TRENTON PLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 HAWKINS DR, DEPT OF OBGYN, IOWA CITY, IA 52242-1009
(319) 356-2294
Mailing address
200 HAWKINS DR, DEPT OF OBGYN, IOWA CITY, IA 52242-1009
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R-10271
IA
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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