Individual
DR. BASSAM C. SALIBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3106 NW ARLINGTON AVE, LAWTON, OK 73505-6123
(580) 250-4278
Mailing address
3106 NW ARLINGTON AVE, LAWTON, OK 73505-6123
(580) 250-4278
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
21792
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100004250B
—
OK
Enumeration date
07/20/2006
Last updated
01/07/2010
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