Provider First Line Business Practice Location Address:
51300 POMERANTZ FAMILY PAVILLION
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:
52242-1049
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-356-2205
Provider Business Practice Location Address Fax Number:
319-335-8956
Provider Enumeration Date:
06/20/2007