Individual
DR. ROMAN BASIL KLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4155
(319) 356-3891
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4155
(319) 356-3891
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME 62266
FL
208600000X
Surgery Physician
MD-45999
IA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD-45999
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373093000
—
FL
Enumeration date
06/24/2006
Last updated
04/24/2019
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