Individual
CLAY R DAHLQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
80 AMHEARST BLVD, SUITE 400, NASHUA, IA 50658-9712
(641) 435-4133
(641) 435-4003
Mailing address
312 9TH ST SW, WAVERLY, IA 50677-2929
(319) 352-4120
(319) 352-3992
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03250
IA
Other
Enumeration date
12/29/2005
Last updated
02/25/2009
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