DR. Richard R Samuel, MD

NPI #1285644955 in Hayden, Idaho

Provider Information

NPI Number: 1285644955
Entity Type: Individual
Name: DR. Richard R Samuel, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Aug 8, 2006
Last Updated: Nov 19, 2008

Practice Location

Address: 8880 N HESS ST
Address 2: SUITE 1
City: Hayden
State: Idaho
ZIP Code: 83835-8716
Phone: (208) 772-5204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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