Individual
DAVID P SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9300 VALLEY CHILDRENS PL, DEPT. OF PEDIATRIC NEURO-ONCOLOGY, MADERA, CA 93636-8761
(559) 353-5480
(559) 353-5490
Mailing address
9300 VALLEY CHILDRENS PL, DEPT. OF HEMATOLOGY-ONCOLOGY, MADERA, CA 93636-8761
(559) 353-5480
(559) 353-5490
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
237976
MA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
A52683
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699923581
—
CA
Enumeration date
09/04/2008
Last updated
07/06/2011
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