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Individual

CLAY F HALLBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
204 8TH AVE SE, OELWEIN, IA 50662-2448
(319) 283-2651
(319) 283-1430
Mailing address
204 8TH AVE SE, OELWEIN, IA 50662-2448
(319) 283-2651
(319) 283-1430

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02321
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1059535
IA
Enumeration date
01/03/2006
Last updated
10/22/2007
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