Samuel Sanning, DO
Pediatrics in Huntsville, AL. Individual provider (NPI-1).
NPI number1164050019
StatusActive
Last updated in NPPESJun 30, 2023
Details
- NPI
- 1164050019
- Entity type
- Individual (NPI-1)
- Name
- Samuel Sanning
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2020
- Certification date
- Jun 30, 2023
- Last updated
- Jun 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | DO.2758 | AL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
245 Governors Dr SeHuntsville, AL 35801-2700
Phone 256-801-6047 · Fax 256-801-6218
Mailing address
Po Box 21007Huntsville, AL 35813-5007
Phone 256-265-6755 · Fax 256-265-8920
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