Individual
SAM W LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 E 32ND ST, SILVER CITY, NM 88061-7287
(575) 538-2981
(855) 653-5171
Mailing address
1600 E 32ND ST, SILVER CITY, NM 88061-7287
(575) 538-2981
(855) 653-5171
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
11137
RI
2080P0207X
Pediatric Hematology & Oncology Physician
13152
ME
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD2017-0771
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7010584
—
RI
Enumeration date
06/03/2006
Last updated
04/15/2022
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