Individual
SAMUEL GREG JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OP00001169
WA
207R00000X
Internal Medicine Physician
OP00001169
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
OP00001169
WA
207RP1001X
Pulmonary Disease Physician
Primary
OP00001169
WA
Other
Enumeration date
05/31/2006
Last updated
04/18/2012
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