Provider First Line Business Practice Location Address:
1026 A AVENUE NE
Provider Second Line Business Practice Location Address:
ST. LUKE'S HOSPITALIST PROGRAM
Provider Business Practice Location Address City Name:
CEDAR RAPIDS
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-368-5970
Provider Business Practice Location Address Fax Number:
319-368-5973
Provider Enumeration Date:
05/22/2007