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Individual

DAVID E SAMUEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
196 W SPROUL RD STE 107, SPRINGFIELD, PA 19064-2045
(610) 328-9122
(610) 328-6219
Mailing address
196 W SPROUL RD STE 107, SPRINGFIELD, PA 19064-2045
(610) 328-9122
(610) 328-6219

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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