Individual
ISAM ELIAS MARAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 WEST BOADWAY, COUNCIL BLUFFS, IA 51501
(712) 256-5600
(712) 256-3440
Mailing address
1701 WEST BOADWAY, COUNCIL BLUFFS, IA 51501
(712) 256-5600
(712) 256-3440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32105
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3160903
—
IA
Enumeration date
01/11/2007
Last updated
03/17/2010
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