NPI 1003864513

State University of Iowa

Organisation Family Medicine Physician Sigourney, IA

Practice location

Address: 1314 S Stuart St, Sigourney, IA 52591-1154
Phone: (641) 622-3840
Mailing address: 200 Hawkins Dr, Iowa City, IA 52242-1007

Authorised official

Name: Philip E Roudabush
Title: Director, Patient Financial Service
Phone: (319) 384-2334

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Iowa →

Registry record

NPI: 1003864513
Entity type: Organization
NPI issued: 5 May 2006
Record last updated: 1 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.