Individual
DR. MARK S SAMSON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
(360) 412-4982
Mailing address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
(360) 412-4982
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD37632
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD4642
—
AK
Enumeration date
07/31/2006
Last updated
05/03/2021
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