Individual provider · Type 1 NPI

Charles Samuel, DO

Military Health Care Provider · Portsmouth, VA

NPI number 1487402871 Active

Practice location

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Mailing address

3432 Unahe St
Lihue, HI 96766-1278

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1487402871

Charles Samuel, DO's National Provider Identifier is 1487402871, issued on May 9, 2024. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Portsmouth, VA. The record was last updated on May 9, 2024.