Individual
KEITH PHILLIPS SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 BUCK CREEK ROAD, SUITE 200, AVON, CO 81620
(970) 926-6340
(970) 926-6348
Mailing address
PO BOX 4330, AVON, CO 81620-4330
(970) 926-6340
(970) 926-6348
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
44037
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41336305
—
CO
Enumeration date
06/16/2006
Last updated
02/20/2017
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