# DAVID E SAMUEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1053491837
- **Gender:** Man
- **Credential:** DPM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC003536L | PA | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 01/14/2020

## 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 |