Individual
SAMIR M MAHFOUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 ILLINI DR, SILVIS, IL 61282-1804
(309) 281-4540
(309) 281-4549
Mailing address
865 LINCOLN RD STE L10, BETTENDORF, IA 52722-4159
(563) 355-9200
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036129566
IL
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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