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Individual

NASREDIN A DALIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4325 WILLIAMS BLVD SW, SUITE 100, CEDAR RAPIDS, IA 52404
(319) 368-8400
(319) 368-8405
Mailing address
4325 WILLIAMS BLVD SW, SUITE 100, CEDAR RAPIDS, IA 52404
(319) 368-8400
(319) 368-8405

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-38106
IA
207Q00000X
Family Medicine Physician
R7782
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R7782
IOWA RESIDENT LICENSE
IA
Enumeration date
06/20/2006
Last updated
02/01/2021
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