Organization
MATHEW.P.SAMUEL,MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATHEW P SAMUEL M.D (PRESIDENT)
(606) 325-9224
Entity
Organization
Contact information
Practice address
2154 CARTER AVE STE D, ASHLAND, KY 41101-7739
(606) 325-9224
Mailing address
2154 CARTER AVE STE D, ASHLAND, KY 41101-7739
(606) 325-9224
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
30450
KY
Other
Enumeration date
04/23/2007
Last updated
10/12/2007
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