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Search › West Virginia › 183500000X

Phil Samples

NPI 1184226821 · on the registry since 2020 · sole proprietor

Practice

Address
204 Town Center Rd
Fayetteville, WV 25840
Phone
(304) 575-5472
Fax
(304) 574-1283
Organisation at this address
National Vision, Inc.
Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia