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Individual

SAMUEL THOMAS GREER

Active
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Individual

SAMUEL THOMAS GREER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
03100
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0153262
IA
01
03100
TRICARE PROVIDER #
IA
01
050054970
RAILROAD MEDICARE #
IA
01
40346
BLUE SHIELD PROVIDER #
IA
01
6386
MIDLANDS PROVIDER #
IA
01
IA0170
JOHN DEERE PROVIDER #
IA
Enumeration date
12/21/2005
Last updated
06/03/2021
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