Individual
JOSEPH V KLAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3805 E BELL RD, SUITE 3100, PHOENIX, AZ 85032
(602) 867-8644
(602) 795-5698
Mailing address
PO BOX 98819, LAS VEGAS, NV 89193
(602) 494-3659
(602) 494-3682
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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