NPI
Samuel J Daisley
NPI 1669507505
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- D.O.
- Type
- Individual
- Enumeration date
- 2007-02-22
- Last updated
- 2009-12-09
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Specialties
Licenses
- License OH
- 34004448
- License PA
- OS006385L
Location
- Practice location
- 149 E Main St, Box 1117
- City
- Andover OH
- Postal code
- 44003-9479
- Phone
- (440) 293-5555
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
Found on the OIG exclusion list (NPI match).
Nearby
Other NPIs in Andover, OH. 93 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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