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Samuel J Daisley, DO
Family Medicine Physician in Andover, Ohio
NPI 1669507505

Samuel J Daisley is a Family Medicine Physician based in Andover, OH. Samuel J Daisley practices in Andover, OH and has the professional credentials of DO. The NPI Number for Samuel J Daisley is 1669507505 and holds a License No. 34004448 (Ohio).

The current practice location address for Samuel J Daisley is 149 E Main St, Andover, OH and can be reached out via phone at 440-293-5555 and via fax at 440-293-6643.

Location: 149 E Main St, Andover, OH, 44003-9479
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669507505
Provider Name
Samuel J Daisley
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
149 E Main St, Andover, OH, 44003-9479
Phone Number
440-293-5555
Fax Number
440-293-6643
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
092290 01 PA HIGHMARK BCBS- OH LOCATIO
0679930 05 OH
1760701 01 PA HIGHMARK BCBS- PA LOCATIO
000000137900 01 OH ANTHEM BCBS
institution
Provider Business Practice Location Address Details
Address
149 E Main St
City
Andover
State
Ohio
Zip
44003-9479
Phone Number
440-293-5555
Fax Number
440-293-6643
person
Provider Business Mailing Address Details
Address
149 E Main St
City
Andover
State
Ohio
Zip
44003-9479
Phone Number
440-293-5555
Fax Number
440-293-6643
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
34004448 (Ohio)
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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