Individual
JOUD GHASSOUB DIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
419 EAST DONALD STREET, WATERLOO, IA 50703-1223
(319) 236-1911
(319) 287-5832
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 235-5390
(319) 287-9249
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
36972
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0749192
—
IA
01
—
30680
WELLMARK HEALTH CARE
—
01
—
421417307M4
JOHN DEERE HEALTH CARE
—
Enumeration date
12/20/2006
Last updated
03/15/2022
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