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Individual

DR. PRINCE D SAMUEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4221 WASHINGTON AVE, EVANSVILLE, IN 47714-0675
(812) 476-6500
(812) 476-6507
Mailing address
4221 WASHINGTON AVE, EVANSVILLE, IN 47714-0675
(812) 476-6500
(812) 476-6507

Taxonomy

Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
01057972A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200454280
IN
Enumeration date
06/16/2005
Last updated
04/24/2017
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