Individual
MR. SAMUEL J DOSTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
430 N MONITOR ST, WEST POINT, NE 68788-1555
(402) 372-2404
Mailing address
430 N MONITOR ST, WEST POINT, NE 68788-1555
(402) 372-6717
(492) 372-2360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1217
NE
363AM0700X
Medical Physician Assistant
1217
NE
363AS0400X
Surgical Physician Assistant
1217
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
247112
MIDLANDS CHOICE
NE
01
—
91177983268510A019
TRI CARE
NE
Enumeration date
02/17/2006
Last updated
06/04/2026
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