Individual provider · Type 1 NPI

Samuel Wyatt Todd, MD

Student in an Organized Health Care Education/Training Program · Portsmouth, VA

NPI number 1013605393 Active

Practice location

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Call (757) 953-1814 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
General Practice Physician 208D00000X0101283013 (VA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013605393

Samuel Wyatt Todd, MD's National Provider Identifier is 1013605393, issued on Apr 25, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portsmouth, VA. The record was last updated on Jul 28, 2026.