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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMUEL J DAISLEY, D.O.

Active

SAMUEL J DAISLEY, D.O. is a Family Medicine healthcare provider located in ANDOVER, Ohio. NPI 1669507505 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · ANDOVER, OH

Registration Details

NPI Number
1669507505
Provider Type
Individual
Gender
Male
NPI Issued
Feb 22, 2007 (19.469426018372 yrs)
Last Updated
Dec 9, 2009
Licenses
34004448 (OH)
OS006385L (PA)

Practice Information

Address
149 E MAIN ST
BOX 1117
ANDOVER, OH, 440039479
Browse OH providers · Browse ZIP 44003
Phone
4402935555
Fax
4402936643
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in ANDOVER, OH

Name Credential NPI
MRS. MARY THERESA JAMES CNP 1992786917
MARK L STABILE JR. D.O. 1578698494
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.