Female

Ms. Elaine S. Samuel MD

Internal Medicine Physician in Bozeman, MT(View on Map)

Full Name

Ms. Elaine Susan Samuel MD

NPI Number

1992813257

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/28/2006

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Licenses

State

Montana

License Number

6340

Contact
Information

Purpose

Mailing
Location

Address

935 HIGHLAND BLVD 2200
935 HIGHLAND BLVD STE 2200

City

Bozeman
Bozeman

State

MT
MT

Postal Code

59715-6915
59715-6915

Country

US
US

Telephone Number

(406) 414-5700
(406) 414-5700

Identifiers

Identifier

1992813257

Identifier State

MT

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/16/2020

Provider Address

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