Organization
STATE UNIVERSITY OF IOWA
Active
Parent organization
STATE UNIVERSITY OF IOWA
Other names
UI Health Care Holiday Road--Occupational Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE UNIVERSITY OF IOWA
Authorized official
DOUGLAS J VANDAELE MD (ASSOCIATE DEAN)
(319) 353-8162
Entity
Organization
Contact information
Practice address
2591 HOLIDAY RD, CORALVILLE, IA 52241-3039
(319) 356-3335
(319) 467-7181
Mailing address
2591 HOLIDAY RD, CORALVILLE, IA 52241-3039
(319) 356-3335
(319) 467-7181
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
11/25/2019
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