Individual
SAMUEL LEATHEN MADSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(760) 819-1136
Mailing address
4218 MANITOU BAY, SAN ANTONIO, TX 78259-2278
(210) 577-0533
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
27143
NE
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0075886
CO
2085R0202X
Diagnostic Radiology Physician
T9941
TX
Other
Enumeration date
04/05/2011
Last updated
04/27/2026
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