Individual
MARK SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
492 WHISPERING PNES, FLORENCE, MT 59833-6722
(406) 777-2142
Mailing address
492 WHISPERING PNES, FLORENCE, MT 59833-6722
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
8706
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47379
—
MT
Enumeration date
11/09/2006
Last updated
07/09/2007
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