Provider First Line Business Practice Location Address:
200 HAWKINS DR OFFICE 333A
Provider Second Line Business Practice Location Address:
UNIVERSITY OF IOWA CHILDREN'S HOPITAL
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-353-6124
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/25/2008