Individual
SAMUEL COLBY DANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1415 JEFFERSON HWY, NEW ORLEANS, LA 70121-2426
(504) 842-4000
Mailing address
2820 NAPOLEON AVE, NEW ORLEANS, LA 70115-6969
(504) 842-4960
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.205314
LA
207R00000X
Internal Medicine Physician
N1297
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07352719
—
MS
05
—
203474601
—
TX
05
—
203474602
—
TX
05
—
2306375
—
LA
01
—
3864783177
MYUTMB 3864783177-COMMERCIAL NUMBER
—
01
—
8B2654
BCBS
TX
01
—
8CU122
BCBS
TX
Enumeration date
06/14/2007
Last updated
12/06/2012
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