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Om Sam, MD
Family Medicine Physician in Sullivan, Missouri
NPI 1457845588

Om Sam is a Family Medicine Physician based in Sullivan, MO. Om Sam practices in Sullivan, MO and has the professional credentials of MD. The NPI Number for Om Sam is 1457845588 and holds a License No. 2021026443 (Missouri).

The current practice location address for Om Sam is 965 Mattox Dr, Sullivan, MO and can be reached out via phone at 573-860-6000.

Location: 965 Mattox Dr, Sullivan, MO, 63080-2365
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457845588
Provider Name
Om Sam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
965 Mattox Dr, Sullivan, MO, 63080-2365
Phone Number
573-860-6000
Fax Number
Provider Enumeration Date
06/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
965 Mattox Dr
City
Sullivan
State
Missouri
Zip
63080-2365
Phone Number
573-860-6000
Fax Number
person
Provider Business Mailing Address Details
Address
965 Mattox Dr
City
Sullivan
State
Missouri
Zip
63080-2365
Phone Number
573-860-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
2021026443 (Missouri)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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