Organization
SAMUEL P PIKE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL PHILLIP PIKE MD (PHYSICIAN)
(270) 765-6242
Entity
Organization
Contact information
Practice address
100 HELMWOOD PLAZA DR, ELIZABETHTOWN, KY 42701-2975
(270) 765-6242
(270) 765-6243
Mailing address
100 HELMWOOD PLAZA DR, ELIZABETHTOWN, KY 42701-2975
(270) 765-6242
(270) 765-6243
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047212
ANTHEM
KY
01
—
1063462935
ERIN BRYANT ARNP NPI
—
01
—
1104832310
NPI
—
Enumeration date
02/01/2007
Last updated
11/16/2007
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