Individual
DR. RICHARD R SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8880 N HESS ST, SUITE 1, HAYDEN, ID 83835-8716
(208) 772-5204
(208) 772-5275
Mailing address
8880 N. HESS ST., SUITE 1, HAYDEN, ID 83835
(208) 772-5204
(208) 772-5275
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M7185
ID
Other
Enumeration date
08/08/2006
Last updated
11/19/2008
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