Provider First Line Business Practice Location Address:
500 E. MARKET STREET
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:
52245
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-339-3875
Provider Business Practice Location Address Fax Number:
319-658-2648
Provider Enumeration Date:
09/05/2017