Provider First Line Business Practice Location Address:
50 NEWTON ROAD
Provider Second Line Business Practice Location Address:
101 NURSING BUILDING
Provider Business Practice Location Address City Name:
IOWA CITY
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52242-1121
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-335-9654
Provider Business Practice Location Address Fax Number:
319-335-7106
Provider Enumeration Date:
08/23/2006