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Individual

SAMUEL P URSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1200 WESTWOOD DR, HAMILTON, MT 59840-2345
(406) 363-2211
(406) 375-4590
Mailing address
1200 WESTWOOD DR, HAMILTON, MT 59840-2345
(406) 363-2211
(406) 375-4846

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO25798
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000095348
BCBSMT
MT
05
1245287820
ID
05
1245287820
MT
05
1245287820
WA
Enumeration date
05/28/2006
Last updated
11/05/2015
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