Individual
JAMES STACEY KLUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
500 NEWTON RD, DEPT OF PATHOLOGY, ROOM 137 MRC, UNIV. OF IOWA COM, IOWA CITY, IA 52242
(319) 338-0581
Mailing address
601 HIGHWAY 6 W, VAMC; PATHOLOGY (113), IOWA CITY, IA 52246-2292
(319) 338-0581
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
2002011767
MO
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
37279
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55071
WELLMARK BCBS
IA
01
—
55110
WELLMARK BCBS
IA
Enumeration date
10/03/2006
Last updated
12/09/2009
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