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institution
State University Of Iowa
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Washington, Iowa
NPI 1093790578

State University Of Iowa is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Iowa City, IA and is specialized in End-Stage Renal Disease (ESRD) Treatment. State University Of Iowa practices in Washington, IA. The NPI Number for State University Of Iowa is 1093790578 and holds a License No. (Iowa).

The current practice location address for State University Of Iowa is 414 E Polk St, Washington, IA and can be reached out via phone at 319-653-4171.

Location: 414 E Polk St, Washington, IA, 52242-1009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093790578
Provider Name
State University Of Iowa
Credential
Provider Entity Type
Organization
Address
414 E Polk St, Washington, IA, 52242-1009
Phone Number
319-653-4171
Fax Number
Provider Enumeration Date
12/07/2005
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0600585 05 IA
62306 01 IA WELLMARK BCBS
institution
Provider Business Practice Location Address Details
Address
414 E Polk St
City
Washington
State
Iowa
Zip
52353-1237
Phone Number
319-653-4171
Fax Number
person
Provider Business Mailing Address Details
Address
414 E Polk St
City
Washington
State
Iowa
Zip
52353-1237
Phone Number
319-653-4171
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
()
Definition
Definition to come...
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