Provider First Line Business Practice Location Address:
51300 POMERANTZ FAMILY PAVILION
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
IOWA CITY
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-356-2743
Provider Business Practice Location Address Fax Number:
319-353-6923
Provider Enumeration Date:
12/14/2005