Provider Demographics
NPI:1598927717
Name:URICK, SAMUEL III (DO)
Entity type:Individual
Prefix:
First Name:SAMUEL
Middle Name:
Last Name:URICK
Suffix:III
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:150 PLEASANT DR STE 102
Mailing Address - Street 2:
Mailing Address - City:ALIQUIPPA
Mailing Address - State:PA
Mailing Address - Zip Code:15001-1360
Mailing Address - Country:US
Mailing Address - Phone:724-257-2157
Mailing Address - Fax:724-257-2158
Practice Address - Street 1:150 PLEASANT DR STE 102
Practice Address - Street 2:
Practice Address - City:ALIQUIPPA
Practice Address - State:PA
Practice Address - Zip Code:15001-1360
Practice Address - Country:US
Practice Address - Phone:724-257-2157
Practice Address - Fax:724-257-2158
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-29
Last Update Date:2018-11-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS015536207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine