Individual
DR. SAMIR R WAHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 1ST AVE S, SUITE 100, FORT DODGE, IA 50501-4306
(515) 955-6767
(515) 576-8581
Mailing address
2700 1ST AVE S, SUITE 100, FORT DODGE, IA 50501-4300
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
23372
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200584
—
IA
01
—
20058
WELLMARK
IA
01
—
4848
MIDLANDS
IA
Enumeration date
05/26/2006
Last updated
10/31/2007
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