Individual
DR. VINCENT K. SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6060 POPLAR AVE, SUITE 364, MEMPHIS, TN 38119-3980
(901) 818-2162
(901) 818-2163
Mailing address
6060 POPLAR AVE, SUITE 364, MEMPHIS, TN 38119-3980
(901) 818-2162
(901) 818-2163
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD27856
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122566
—
MS
05
—
146439001
—
AR
05
—
209768415
—
MO
05
—
3800784
—
TN
Enumeration date
02/23/2006
Last updated
05/22/2008
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