Individual
MRS. AMY ROBINSON SAMPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501
(701) 530-7000
Mailing address
33 9TH ST W, DICKINSON, ND 58601-3950
(701) 483-6017
(701) 483-5018
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0476
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452473
—
ND
01
—
N725092
MEDICARE
ND
Enumeration date
02/17/2012
Last updated
05/15/2018
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