Individual
DR. PHILIPPE SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 E HARRY ST, WICHITA, KS 67218-3713
(316) 689-5475
(316) 691-6772
Mailing address
PO BOX 1897, WICHITA, KS 67201-1897
(316) 268-8131
(316) 291-4788
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
0427763
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100341090B
—
KS
Enumeration date
06/15/2005
Last updated
12/03/2010
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