Individual
DR. SAMUEL J SALIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2055 E SOUTH BLVD, SUITE 308, MONTGOMERY, AL 36116-2001
(334) 747-2390
(334) 747-7495
Mailing address
301 BROWN SPRINGS RD, MONTGOMERY, AL 36117-7005
(334) 747-4159
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10346
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000032488
—
AL
01
—
051032488
BLUE CROSS BLUE SHIELD
—
01
—
051535086
BLUE CROSS BLUE SHIELD
AL
01
—
203204949
WORKMAN COMP
AL
01
—
P00384994
RAILROAD MEDICARE
AL
Enumeration date
03/07/2006
Last updated
01/05/2023
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