Dr. Richard R Samuel, MD
Family Medicine in Hayden, ID. Individual provider (NPI-1).
NPI number1285644955
StatusActive
Last updated in NPPESNov 19, 2008
Details
- NPI
- 1285644955
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard R Samuel
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 8, 2006
- Last updated
- Nov 19, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | M7185 | ID | Yes |
Practice location
8880 N Hess StSuite 1
Hayden, ID 83835-8716
Phone 208-772-5204 · Fax 208-772-5275
Mailing address
8880 N. Hess St.Suite 1
Hayden, ID 83835
Phone 208-772-5204 · Fax 208-772-5275
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