Provider First Line Business Practice Location Address:
701 10TH ST SE
Provider Second Line Business Practice Location Address:
NEONATAL INTENSIVE CARE UNIT
Provider Business Practice Location Address City Name:
CEDAR RAPIDS
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52403-1251
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-221-6818
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/05/2012