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Individual

DR. SAMUEL RICHARD GUBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2111 14TH ST, MERIDIAN, MS 39301-4041
(601) 693-3834
(601) 693-8239
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(901) 226-4003
(901) 227-8591

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
04-50816
KS
208600000X
Surgery Physician
2025011100
MO
208600000X
Surgery Physician
Primary
37265
MS
208600000X
Surgery Physician
BP10071314
TX

Other

Enumeration date
04/30/2020
Last updated
07/01/2026
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