Provider First Line Business Practice Location Address:
600 BLANK HONORS CENTER
Provider Second Line Business Practice Location Address:
THE UNIVERSITY OF IOWA
Provider Business Practice Location Address City Name:
IOWA CITY
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52242-0454
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-335-6148
Provider Business Practice Location Address Fax Number:
319-335-5151
Provider Enumeration Date:
01/31/2006