Organization
BARILLAS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER O BARILLAS ARNP (PROVIDER)
(319) 594-7755
Entity
Organization
Contact information
Practice address
1524 US HIGHWAY 18 W, CLEAR LAKE, IA 50428-1161
(641) 530-4050
(641) 357-4051
Mailing address
1524 US HIGHWAY 18 W STE 100, CLEAR LAKE, IA 50428-1161
(641) 530-4050
(641) 357-4051
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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