Individual
JOSE M SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 SMITH FARM RD, NORTH CHITTENDEN, VT 05763-9677
(520) 780-8929
Mailing address
60 SMITH FARM RD, NORTH CHITTENDEN, VT 05763-9677
(520) 780-8929
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
23352
NH
207L00000X
Anesthesiology Physician
Primary
34725
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006171
—
AZ
Enumeration date
04/20/2006
Last updated
11/15/2024
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