Clay R Dahlquist DO

NPI 1083691190 - Family Medicine - 207Q00000X

NPI Details
NPI 1083691190
Gender Male
Enumeration Date 12/29/2005
Last Updated 02/25/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
80 AMHEARST BLVD
SUITE 400
NASHUA IA, 50658-9712, US
Phone (641) 435-4133
Fax (641) 435-4003
Business Location
312 9TH ST SW
WAVERLY IA, 50677-2929, US
Phone (319) 352-4120
Fax (319) 352-3992
Toxanomy
Taxonomy Code 207Q00000X
License State Iowa
License Number 03250
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According to our database, Clay R Dahlquist DO NPI is 1083691190, taxonomy code is 207Q00000X and license number is 03250, license state is located at Iowa. Clay R Dahlquist DO physically located at 80 Amhearst Blvd, Nashua IA, 50658-9712. NPI Number Clay R Dahlquist DO has the Individual type.

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1083691190 NPI number is provided on an as is basis without warranty of any kind. 1083691190 is maintained by the National Plan & Provider Enumeration System. The contents of Clay R Dahlquist DO are for informational purposes only.