Samir B.g. Boutros, M.d.p.c.

NPI #1982816633 in South Hill, Virginia

Provider Information

NPI Number: 1982816633
Entity Type: Organization
Organization Name: Samir B.g. Boutros, M.d.p.c.
Primary Specialty: Specialist
Enumeration Date: May 4, 2007
Last Updated: Nov 8, 2007

Practice Location

Address: 420 DURANT ST
City: South Hill
State: Virginia
ZIP Code: 23970-1614
Phone: (434) 447-3315

Authorized Official

Name: DR. SAMIR B BOUTORS, M.D.
Title: PRESIDENT
Phone: (434) 447-3315

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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