Individual
SAMUEL N PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
206 W TYSON ST STE 1A, VERSAILLES, IN 47042-8036
(812) 689-5101
(812) 689-6199
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02005959A
IN
207Q00000X
Family Medicine Physician
125070950
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300038188
—
IN
05
—
7100664390
—
KY
Enumeration date
06/08/2017
Last updated
12/16/2025
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