Provider Demographics
NPI:1710366216
Name:UNIVERSITY OF IOWA HOSPITALS AND CLINICS
Entity Type:Organization
Organization Name:UNIVERSITY OF IOWA HOSPITALS AND CLINICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENETIC COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PHETTEPLACE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:319-353-4343
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:RPC 2007
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:RPC 2007
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-353-4343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-29
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes281P00000XHospitalsChronic Disease Hospital