Provider First Line Business Practice Location Address:
200 HAWKINS DR. E 257 GH/
Provider Second Line Business Practice Location Address:
UNIVERSITY OF IOWA/CPH/PREVENTIVE INTERVENTION CENTER
Provider Business Practice Location Address City Name:
IOWA CITY
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52252
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-384-5030
Provider Business Practice Location Address Fax Number:
319-384-5045
Provider Enumeration Date:
04/02/2014