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Individual

GEORGE B CLAVENNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
6200 WESTOWN PKWY, WEST DES MOINES, IA 50266
(515) 223-8685
Mailing address
309 E CHURCH ST, MARSHALLTOWN, IA 50158-2946
(641) 754-6200
(641) 754-6245

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
02159
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0238295
IA
01
180004154
RR MEDICARE
IA
Enumeration date
08/17/2005
Last updated
07/16/2018
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