Individual
DIANE E SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4868 BRIDGE RD, SUFFOLK, VA 23435-2048
(757) 483-7113
(757) 483-7151
Mailing address
2000 MEADE PKWY, SUFFOLK, VA 23434-4259
(757) 539-0251
(757) 934-9497
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101039174
VA
Other
Enumeration date
11/24/2009
Last updated
02/09/2010
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