Samuel David Tri DO

NPI 1083935076 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1083935076
Gender Male
Enumeration Date 06/14/2010
Last Updated 08/06/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
1217 1ST ST NW
ALBUQUERQUE NM, 87102-1529, US
Phone (505) 242-4644
Fax
Business Location
933 BRADBURY DR SE
SUITE 2222
ALBUQUERQUE NM, 87106-4374, US
Phone (505) 272-3120
Fax (505) 272-8060
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Samuel David Tri DO NPI is 1083935076, taxonomy code is 390200000X Samuel David Tri DO physically located at 1217 1st St Nw, Albuquerque NM, 87102-1529. NPI Number Samuel David Tri DO has the Individual type.

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1083935076 NPI number is provided on an as is basis without warranty of any kind. 1083935076 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel David Tri DO are for informational purposes only.