Provider First Line Business Practice Location Address:
IOWA STATE UNIVERSITY
Provider Second Line Business Practice Location Address:
2260 THIELEN STUDENT HEALTH CENTER
Provider Business Practice Location Address City Name:
AMES
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-294-7265
Provider Business Practice Location Address Fax Number:
515-294-5457
Provider Enumeration Date:
08/25/2014