Individual
DR. ROBERT BARRY SAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1900 N LAKES PL, SUITE 100, MERIDIAN, ID 83646-6231
(208) 888-7242
(208) 888-7263
Mailing address
PO BOX 837, MERIDIAN, ID 83680-0837
(208) 888-7242
(208) 888-7263
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA410
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010009125
BLUE SHIELD
—
01
—
38353
OLD BLUE SHIELD
—
Enumeration date
01/03/2007
Last updated
11/03/2010
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