Provider First Line Business Practice Location Address:
200 HAWKINS DR
Provider Second Line Business Practice Location Address:
UNIVERSITY OF IOWA HOSPITALS AND CLINICS, 2606 JCP
Provider Business Practice Location Address City Name:
IOWA CITY
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52242-1009
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-356-7970
Provider Business Practice Location Address Fax Number:
319-356-3347
Provider Enumeration Date:
10/24/2005