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Individual

SAMUEL PATTON DEEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
338 COEBURN AVE SW, NORTON, VA 24273-2606
(276) 679-0800
(276) 679-0097
Mailing address
338 COEBURN AVE SW, NORTON, VA 24273-2606
(276) 679-0800
(276) 679-0097

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102202849
VA
207R00000X
Internal Medicine Physician
R1660
KY
208000000X
Pediatrics Physician
0102202849
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1568625127
VA
01
P00998574
RR MEDICARE
VA
Enumeration date
07/03/2008
Last updated
11/18/2025
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