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Individual

SAMUEL JOSEPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
5701 DELMAR BLVD, SAINT LOUIS, MO 63112-2617
(314) 367-7848
(314) 367-2985
Mailing address
5701 DELMAR BLVD, SAINT LOUIS, MO 63112-2617
(314) 367-7848
(314) 367-2985

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1999134859
MO

Other

Enumeration date
07/06/2006
Last updated
03/09/2011
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