| Doctor Name: | SAMUEL GREG JOSEPH |
| NPI Number: | 1003853227 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | OP00001169 |
| Business Practice Address: | 104 W. 5th Ave. Suite 400 W. Spokane, WA - 992044800 |
| Business Phone Number: | 5093533960 |
| Business Fax Number: | 5096257387 |
| Mailing Address: | 104 W. 5th Ave., Suite 400 W. SPOKANE |
| State: | WA |
| Postal Code: | 992044800 |
| Phone Number: | 5093533960 |
| Fax Number: | 5096257387 |
| NPI Enumeration Date: | 05/31/2006 |
| NPI Last Update Date: | 04/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | OP00001169 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |