Organization
SAMIR B.G. BOUTROS, M.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMIR B BOUTORS M.D. (PRESIDENT)
(434) 447-3315
Entity
Organization
Contact information
Practice address
420 DURANT ST, SOUTH HILL, VA 23970-1614
(434) 447-3315
(434) 447-2540
Mailing address
PO BOX 25, SOUTH HILL, VA 23970-0025
(434) 447-3315
(434) 447-2540
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101032398
VA
Other
Enumeration date
05/04/2007
Last updated
11/08/2007
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