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Individual

JOSEPH V KLAG

Active
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Individual

JOSEPH V KLAG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
3185
AZ
207RI0011X
Interventional Cardiology Physician
Primary
3185
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060042204
RAILROAD MEDICARE
AZ
01
1Z3959
HEALTHNET
AZ
01
25-00208
UNITED HEALTHCARE
AZ
05
391045
AZ
01
AZ0814020
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
06/27/2005
Last updated
10/24/2014
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