Individual
MR. SAMUEL HARDIN NIEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10 BARNES WEST DR, DIV IM MEDICAL ONCOLOGY, STE 100, SAINT LOUIS, MO 63141-6287
(314) 747-1171
(314) 362-3192
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 747-1171
(314) 362-3192
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2025037850
MO
Other
Enumeration date
07/15/2025
Last updated
12/08/2025
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