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Individual

BASSEL EID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1201 3RD AVE SE, CEDAR RAPIDS, IA 52403-4009
(832) 495-3968
Mailing address
1201 3RD AVE SE, CEDAR RAPIDS, IA 52403-4009
(832) 495-3968

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
IA

Other

Enumeration date
01/15/2009
Last updated
10/04/2010
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