Provider First Line Business Practice Location Address:
500 NEWTON RD
Provider Second Line Business Practice Location Address:
1-256 MEDICAL EDUCATION BUILDING
Provider Business Practice Location Address City Name:
IOWA CITY
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52242-5224
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-295-3309
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/22/2005