Provider First Line Business Practice Location Address:
1201 3RD AVE SE
Provider Second Line Business Practice Location Address:
EASTERN IOWA HEALTH CENTER
Provider Business Practice Location Address City Name:
CEDAR RAPIDS
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52403-4009
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-730-7300
Provider Business Practice Location Address Fax Number:
319-730-7368
Provider Enumeration Date:
05/23/2010