Individual
CLAIBOURNE IRA DUNGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
105 E 9TH ST, CORALVILLE, IA 52241-2209
(319) 384-7333
(319) 384-6295
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-7333
(319) 384-6295
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
26805
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0263822
—
IA
01
—
26382
WELLMARK BCBS
IA
Enumeration date
12/27/2005
Last updated
10/27/2014
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