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Individual
DAVID E SAMUEL
Active
Individual
DAVID E SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC003536L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00130001000004
—
PA
01
—
0549291000
KEYSTONE HEALTH PLAN EAST
PA
01
—
1010163
KEYSTONE MERCY
PA
01
—
1643217
BLUE SHIELD GROUP NUMBER
PA
01
—
2317760000
KEYSTONE HEALTH GROUP NUM
PA
01
—
3323
ELDER HEALTH
PA
01
—
480021835
PALMETTO/RR MEDICARE
PA
01
—
4973770001
NHIC/DMERC
PA
01
—
712999
BLUE SHIELD
PA
Enumeration date
10/16/2006
Last updated
01/14/2020
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