Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

State University of Iowa

Organization Family Medicine Physician · NPI 1184673972

State University of Iowa provides Family Medicine Physician services in North Liberty, Iowa. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

3 Lions Dr
North Liberty, IA 52317-9575 Not confirmed with CMS for 14 years — call before visiting
Phone: (319) 626-5680
Fax: (319) 626-5687
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1184673972
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Roudabush — Director, Patient Financial Service · (319) 384-2334
Other names Family Care Center North Liberty
NPI enumeratedMay 9, 2006
Last updated in NPPESMarch 1, 2012
Mailing address200 Hawkins Dr, Iowa City, IA 52242-1007

Other providers in North Liberty