Individual
MR. MARCUS STEWART SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 PHELAN AVE, #1, SAN JOSE, CA 95112-6120
(408) 279-3955
(408) 516-9662
Mailing address
75 PHELAN AVE, #1, SAN JOSE, CA 95112-6120
(408) 279-3955
(408) 516-9662
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/02/2007
Last updated
01/15/2015
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