Provider First Line Business Practice Location Address:
1720 WATERFRONT DRIVE
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-354-7601
Provider Business Practice Location Address Fax Number:
319-354-7025
Provider Enumeration Date:
12/04/2013