Organization
SAM DELK
Active
Other names
SAM DELK MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM DELK M.D. (OWNER/M.D.)
(901) 725-0421
Entity
Organization
Contact information
Practice address
176 S BELLEVUE BLVD, SUITE 505, MEMPHIS, TN 38104-3417
(901) 725-0421
(901) 278-4675
Mailing address
PO BOX 126, MEMPHIS, TN 38101-0126
(901) 757-2345
(901) 757-9065
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
37329
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0037329
BLUE CROSS BLUE SHIELD
TN
05
—
114202001
—
AR
05
—
3003101
—
TN
Enumeration date
07/11/2006
Last updated
09/02/2022
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