Individual
SAMIR SAMUEL MISSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HOSPITAL DRIVE, BUILDING 1, CLINTWOOD, VA 24228
(276) 926-6258
(276) 926-6222
Mailing address
PO BOX 1040, CLINTWOOD, VA 24228-1040
(276) 926-6258
(276) 926-6222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101046837
VA
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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