Provider First Line Business Practice Location Address:
119 E WASHINGTON ST
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:
52240-3925
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-338-6800
Provider Business Practice Location Address Fax Number:
319-338-2165
Provider Enumeration Date:
04/23/2007