DR. Sam Gaines, M.D.

NPI #1730115643 in Normal, Illinois

Provider Information

NPI Number: 1730115643
Entity Type: Individual
Name: DR. Sam Gaines, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jun 23, 2006
Last Updated: Dec 28, 2021

Practice Location

Address: VIRGINIA & FRANKLIN STREETS
City: Normal
State: Illinois
ZIP Code: 61761
Phone: (309) 827-4321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Emergency Medicine - Emergency Medical Services — Emergency Medical Services	207PE0004X
Internal Medicine	207R00000X	Primary

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