Individual
JAMAL J HOBALLAH
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) 356-3305
(319) 384-6306
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-3305
(319) 384-6306
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
27598
IA
2086S0129X
Vascular Surgery Physician
Primary
27598
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0038851
—
IA
01
—
03885
WELLMARK BCBS
IA
Enumeration date
08/16/2005
Last updated
12/04/2007
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