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Individual

COURTNEY A.R. SAMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
232 W 25TH ST, ERIE, PA 16544-0002
(814) 452-5216
(814) 452-7005
Mailing address
232 W 25TH ST, ERIE, PA 16544-0002
(814) 452-5216
(814) 452-7005

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
272635
NY
207Q00000X
Family Medicine Physician
Primary
OS017651
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/01/2012
Last updated
06/12/2015
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