Provider Demographics
NPI:1255343364
Name:CLAUDY, FRANK REGINALD (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:REGINALD
Last Name:CLAUDY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1227 E RUSHOLME ST
Mailing Address - Street 2:GENESIS MEDICAL CENTER OFFICE OF MEDICAL AFFAIRS
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52803
Mailing Address - Country:US
Mailing Address - Phone:563-421-7880
Mailing Address - Fax:563-421-7889
Practice Address - Street 1:1227 E RUSHOLME ST
Practice Address - Street 2:GENESIS MEDICAL CENTER OFFICE OF MEDICAL AFFAIRS
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52803
Practice Address - Country:US
Practice Address - Phone:563-421-7880
Practice Address - Fax:563-421-7889
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2021-07-30
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Provider Licenses
StateLicense IDTaxonomies
IA32118207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B67221Medicare UPIN