Individual
DR. JULIA ANN KLESNEY TAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
200 HAWKINS DR, INTERNAL MEDICINE/PULMON C 33-GH, IOWA CITY, IA 52242-1009
(319) 356-4187
(319) 356-3891
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-3576
(319) 356-3891
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36987
IA
207RP1001X
Pulmonary Disease Physician
Primary
36987
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0762476
—
IA
01
—
29422
WELLMARK BCBS
IA
Enumeration date
12/05/2006
Last updated
01/10/2017
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