Individual
JOSEPH T AYOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 EDMUNDSON PL, SUITE 306, COUNCIL BLUFFS, IA 51503-4658
(712) 396-7787
(712) 396-4115
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
34878
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026209700
—
NE
05
—
10026380600
—
NE
05
—
1902888365
—
IA
Enumeration date
11/18/2005
Last updated
12/09/2014
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