Individual
JOHN THEODORE SAMSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
875 SWIFT BLVD, RICHLAND, WA 99352-3592
(509) 946-1654
Mailing address
875 SWIFT BLVD, RICHLAND, WA 99352-3592
(509) 946-1654
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00017570
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134826
STATE INDUSTRIAL
WA
05
—
1549906
—
WA
Enumeration date
11/18/2005
Last updated
07/08/2007
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