Individual
DR. SAMUEL GEORGE ANTOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
DR.0071436
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029395
KAISER COMMERCIAL NUMBER
CO
05
—
9000162693
—
CO
Enumeration date
04/09/2018
Last updated
07/28/2023
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