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Individual

DR. RUTH LOUISE SAMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
403 S 4TH ST W, MISSOULA, MT 59801-2631
(406) 728-1985
(406) 728-2272
Mailing address
403 S 4TH ST W, MISSOULA, MT 59801-2631
(406) 728-1985
(406) 728-2272

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4261
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000012730
BLUECROSSBLUESHIELD
MT
05
0052351
MT
01
460000779
TRAVELERS' MEDICARE
Enumeration date
10/26/2006
Last updated
07/08/2007
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