Organization · Type 2 NPI

State University of Iowa

Pediatrics Physician · North Liberty, IA

NPI number 1063802791 Active

Practice location

1765 Lininger Ln
North Liberty, IA 52317-2316

Fax (319) 467-7889

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician Primary	208000000X	None listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

15 other providers at this address

NPI record

NPI: 1063802791
Entity type: Organization (Type 2)
Issued: Feb 3, 2015
Last updated: Feb 19, 2015
Status: Active

Other names

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University of Iowa Children's Hospital Gen Pediatrics-North Liberty · doing business as

Authorized official

Philip E Roudabush
Director, Patient Financial Service
(319) 384-2334

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063802791

State University of Iowa's National Provider Identifier is 1063802791, issued on Feb 3, 2015. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in North Liberty, IA. The record was last updated on Feb 19, 2015.