Individual
DR. ISAAC SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-7220
(319) 356-8378
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-7220
(319) 356-8378
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
33281
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0202846
—
IA
01
—
14419
WELLMARK BCBS
IA
Enumeration date
09/07/2005
Last updated
12/18/2007
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