Individual
BARBARA SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS., CAC
Contact information
Practice address
1807 WILLIAM STREET, STURGIS, SD 57785
(605) 347-3003
Mailing address
1807 WILLIAM STREET, STURGIS, SD 57785
(605) 347-3003
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14091667
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
466036107
—
SD
Enumeration date
09/01/2016
Last updated
09/01/2016
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