Provider First Line Business Practice Location Address:
100 OAKDALE CAMPUS #158 IREH
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:
52242-5000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-335-4416
Provider Business Practice Location Address Fax Number:
319-335-4225
Provider Enumeration Date:
05/31/2007