Organization
STATE UNIVERSITY OF IOWA
Active
Other names
University of Iowa Health Care-Quad Cities
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP E ROUDABUSH (ASSISTANT VICE PRESIDENT)
(319) 353-8820
Entity
Organization
Contact information
Practice address
865 LINCOLN RD, BETTENDORF, IA 52722-4190
(563) 344-2240
(563) 344-2244
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1616
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/12/2016
Last updated
07/18/2016
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