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Individual

EDGAR A. SAMANIEGO PONTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2952
(319) 356-4505
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2952
(319) 356-4505

Taxonomy

Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
MD-42915
IA
2084N0400X
Neurology Physician
036-137420
IL
2084N0400X
Neurology Physician
1405-TEP
WI
2084N0400X
Neurology Physician
MD-42915
IA
2084V0102X
Vascular Neurology Physician
MD-42915
IA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD-42915
IA

Other

Enumeration date
04/24/2006
Last updated
12/03/2025
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