Provider First Line Business Practice Location Address:
509 S DUBUQUE ST
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:
52240-4228
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-688-1000
Provider Business Practice Location Address Fax Number:
319-688-1009
Provider Enumeration Date:
12/13/2006