Organization
SAMUEL, STEWART & ASSOCIATES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN FREDERICK SAMUEL M.D. (PRESIDENT)
(502) 583-7741
Entity
Organization
Contact information
Practice address
141 QUARTERMASTER CT, JEFFERSONVILLE, IN 47130-3627
(502) 583-7741
(502) 290-9743
Mailing address
141 QUARTERMASTER CT, JEFFERSONVILLE, IN 47130-3627
(502) 583-7741
(502) 290-9743
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000869923
ANTHEM
KY
05
—
300001782
—
IN
05
—
65906232
—
KY
Enumeration date
12/28/2006
Last updated
07/26/2022
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