Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

State University of Iowa

Organization Pediatrics Physician · NPI 1063802791

State University of Iowa is a Pediatrics Physician in North Liberty, Iowa. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

1765 Lininger Ln
North Liberty, IA 52317-2316
Phone: (319) 467-7888
Fax: (319) 467-7889
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1063802791
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Roudabush — Director, Patient Financial Service · (319) 384-2334
Other names University Of Iowa Children'S Hospital Gen Pediatrics-North Liberty
NPI enumeratedFebruary 3, 2015
Last updated in NPPESFebruary 19, 2015
Mailing address1765 Lininger Ln, North Liberty, IA 52317-2316

Other providers in North Liberty