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Individual

RICHARD SAMUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101052355
VA
207R00000X
Internal Medicine Physician
Primary
D47095
MD

Other

Enumeration date
05/19/2006
Last updated
07/27/2022
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