Individual
DR. SAMUEL D VERNON
Active
Individual
DR. SAMUEL D VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101025422
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0385921
UNITED MINE WORKERS
VA
05
—
1285631796
—
VA
01
—
144631
ANTHEM
VA
01
—
202760
BLACK LUNG
VA
01
—
P00197424
RAILROAD MEDICARE
VA
Enumeration date
06/30/2005
Last updated
02/21/2013
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