Most Relevant Information
Provider Data
| NPI Number: | 1003492653 |
| Provider Name: | JONMICHAEL SAMSEL DO |
| Entity Type: | Individual |
| Taxonomy Code: | 208D00000X |
| Specialty: | General Practice |
| License Number: | 0102207529 |
Most Important Dates
| Enumeration Date: | 03/23/2021 |
| Last Updated: | 11/08/2022 |
Provider Practice Location
3700 S MAIN ST
BLACKSBURG
VA
240607017
Practice Location Phone/Fax
| Phone: | 5409511111 |
| Fax: |
Provider Mailing Location
3700 S MAIN ST
BLACKSBURG
VA
240607017
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |