Individual
DR. MITZI JEAN SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
211 PARK HILL DR STE B, FREDERICKSBURG, VA 22401-3361
(540) 370-4370
(540) 370-4331
Mailing address
211 PARK HILL DR STE B, FREDERICKSBURG, VA 22401-3361
(540) 370-4370
(549) 370-4331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101047353
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669794921
NPI CORPORATE
VA
Enumeration date
09/26/2005
Last updated
03/29/2021
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