Individual
SAMUEL K ST CLAIR
Active
Individual
SAMUEL K ST CLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
39097
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0650385
UNITED HEALTHCARE
NC
01
—
140006908
RAILROAD MEDICARE
NC
01
—
2070150
FIRST HEALTH
NC
01
—
4063806
AETNA
NC
01
—
56219447701
TRICARE
NC
01
—
706943
CHOICE CARE NETWORK
NC
01
—
79535
BCBS NC
NC
05
—
8979535
—
NC
01
—
97486
MEDCOST
NC
Enumeration date
02/22/2006
Last updated
07/09/2019
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