Provider First Line Business Practice Location Address:
NEWTON ROAD
Provider Second Line Business Practice Location Address:
S229 DSB THE UNIVERSITY OF IOWA
Provider Business Practice Location Address City Name:
IOWA CITY
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52246
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-335-7338
Provider Business Practice Location Address Fax Number:
319-335-7218
Provider Enumeration Date:
09/09/2008