MEDICARE: MR. ARTHUR WILLIAM SAMPE P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	109618	MO

General Provider Information

NPI Number	:	1659361707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ARTHUR WILLIAM SAMPE P.A.

Provider Business Mailing Address
First Line	:	20125 HIGHWAY Y
Second Line	:
City	:	SAINT ROBERT
State	:	MO
Zip	:	65584-9401
Country	:	US
Telephone Number	:	573-433-6619
Fax Number	:

Provider Business Practice Location Address
First Line	:	20125 HIGHWAY Y
Second Line	:
City	:	SAINT ROBERT
State	:	MO
Zip	:	65584-9401
Country	:	US
Telephone Number	:	573-433-6619
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	01/31/2013

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