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Individual

BARCLAY A MONASTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3135 W BROADWAY, COUNCIL BLUFFS, IA 51501
(712) 242-2040
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
30531
NE
207Q00000X
Family Medicine Physician
Primary
31812
IA

Other

Enumeration date
08/01/2006
Last updated
10/15/2019
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