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Individual

BRIAN LOUIS SAMUELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
980 W IRONWOOD DR STE 207, COEUR D ALENE, ID 83814-2668
(208) 755-2804
(208) 765-0277
Mailing address
980 W IRONWOOD DR STE 207, COEUR D ALENE, ID 83814-2668
(208) 755-2804
(208) 765-0277

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
M8989
ID
207RH0003X
Hematology & Oncology Physician
MD60316942
WA
207RX0202X
Medical Oncology Physician
M-8989
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
806822500
ID
Enumeration date
07/05/2006
Last updated
03/19/2020
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