Individual
PHILIP MERRILL SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1140 MAIN ST, LIVINGSTON, CA 95334-1257
(209) 394-7913
(209) 394-9093
Mailing address
1140 MAIN ST, LIVINGSTON, CA 95334-1257
(209) 394-7913
(209) 394-9093
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
14693
CA
363AM0700X
Medical Physician Assistant
Primary
PA14693
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA14693
—
CA
Enumeration date
08/25/2006
Last updated
10/24/2018
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