Individual
DUDLEY ILES KLATT II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2425 BABCOCK RD STE 108A, SAN ANTONIO, TX 78229-4899
(210) 298-9000
(210) 298-9001
Mailing address
26921 ANEMONE BND, BOERNE, TX 78015-5073
(361) 227-0412
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
16601
OK
183500000X
Pharmacist
Primary
47607
TX
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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