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Dr. Clemens E. Haggerty, DO
General Practice Physician in Iberia, Missouri
NPI 1952300923

Clemens E. Haggerty is a General Practice Physician based in Osage Beach, MO. Clemens E. Haggerty practices in Iberia, MO and has the professional credentials of DO. The NPI Number for Clemens E. Haggerty is 1952300923 and holds a License No. 30307 (Missouri).

The current practice location address for Clemens E. Haggerty is 2333 Highway 17, Iberia, MO and can be reached out via phone at 573-793-6900 and via fax at 573-793-6688.

Location: 2333 Highway 17, Iberia, MO, 65065-1500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952300923
Provider Name
Clemens E. Haggerty
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2333 Highway 17, Iberia, MO, 65065-1500
Phone Number
573-793-6900
Fax Number
573-793-6688
Provider Enumeration Date
07/20/2005
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
240891200 05 MO
010052082 01 MO RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2333 Highway 17
City
Iberia
State
Missouri
Zip
65486-9331
Phone Number
573-793-6900
Fax Number
573-793-6688
person
Provider Business Mailing Address Details
Address
2333 Highway 17
City
Iberia
State
Missouri
Zip
65486-9331
Phone Number
573-793-6900
Fax Number
573-793-6688
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
30307 (Missouri)
Definition
Definition to come...
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