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Organization

PETER M. KLARA, M.D., PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JOANN K. FOGLIA (PRACTICE MANAGER)
(931) 455-8484
Entity
Organization

Contact information

Practice address
1940 N JACKSON ST, SUITE 150, TULLAHOMA, TN 37388-8254
(931) 455-8484
(931) 455-8440
Mailing address
1940 N JACKSON ST, SUITE 150, TULLAHOMA, TN 37388-8254
(931) 455-8484
(931) 455-8440

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
23924
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3733161
TN
Enumeration date
08/08/2007
Last updated
08/08/2007
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