Individual
SAMUEL M ANDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(877) 662-4044
Mailing address
PO BOX 7693, LOVELAND, CO 80537-0693
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40629
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35007508
—
CO
01
—
P00061125
RAILROAD MEDICARE
CO
Enumeration date
06/08/2006
Last updated
10/04/2007
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