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Individual

THOMAS ONLEY KLAUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2829 E HIGHWAY 76, MULLINS, SC 29574-6035
(843) 431-2000
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10174
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101749
SC
05
7906264
NC
Enumeration date
08/29/2006
Last updated
10/10/2008
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