Individual
DR. RICHARD PAUL SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.,D.C.,F.I.A.M.A.
Contact information
Practice address
1504 N MAIN ST, MERIDIAN, ID 83642-1707
(208) 888-2267
(208) 288-0260
Mailing address
1504 N MAIN ST, MERIDIAN, ID 83642-1707
(208) 888-2267
(208) 288-0260
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA 470
ID
171100000X
Acupuncturist
ACC-57
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010007712
BLUE SHIELD
ID
05
—
001618100
—
ID
01
—
C470-2
BLUE CROSS
ID
Enumeration date
09/08/2005
Last updated
06/28/2010
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