Individual
DR. SAMUEL E VICTORIA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1542 TULANE AVE, 7TH FLOOR, NEW ORLEANS, LA 70112-2865
(504) 568-4750
(504) 468-4633
Mailing address
500 E HAMPDEN AVE STE 204, ENGLEWOOD, CO 80113-2885
(303) 778-6527
(303) 733-1288
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
83005
GA
208D00000X
General Practice Physician
301277
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2014
Last updated
11/29/2023
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