Provider First Line Business Practice Location Address:
800 WEBSTER 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:
52240-4806
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-338-2722
Provider Business Practice Location Address Fax Number:
319-338-7758
Provider Enumeration Date:
09/11/2006