Individual
SAMANTHA DEMOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 HADLEY RD STE 201, MOORESVILLE, IN 46158-2907
(317) 834-9618
(317) 831-9467
Mailing address
1215 HADLEY RD STE 201, MOORESVILLE, IN 46158-2907
(317) 834-9618
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01095693B
IN
208600000X
Surgery Physician
Primary
125.075907
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/23/2020
Last updated
06/16/2025
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