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Individual

SAMUEL MARK PLANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(208) 420-1572
Mailing address
6325 BOULDER TRAIL DR APT 304-2, ROANOKE, VA 24019-1925
(208) 420-1572

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
VA

Other

Enumeration date
04/05/2021
Last updated
04/05/2021
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