Individual
SAMANTHA ELIZABETH HOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5701 FAR HILLS AVE, DAYTON, OH 45429-2207
(937) 435-6222
Mailing address
5701 FAR HILLS AVE, DAYTON, OH 45429-2207
(937) 435-6222
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34.011704
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0120633
—
OH
01
—
2147224
GROUP MEDICAID
OH
01
—
9271701
GROUP MEDICARE
OH
Enumeration date
04/20/2011
Last updated
06/22/2022
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