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Individual

TROY E. SAMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.AC.O.M., L.AC.

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
567
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
611913700
WORKERS COMPENSATION ID
CO
01
651493
ANTHEM BC BS
CO
Enumeration date
04/18/2007
Last updated
02/16/2010
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