Provider Demographics
NPI:1396793535
Name:SAMS, ROBERT MITCHELL (CRNA)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:MITCHELL
Last Name:SAMS
Suffix:
Gender:M
Credentials:CRNA
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Mailing Address - Street 1:245 ROCK CHIMNEY LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-7226
Mailing Address - Country:US
Mailing Address - Phone:434-295-4047
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF VIRGINIA HEALTH SCIENCES CENTER
Practice Address - Street 2:DEPARTMENT OF ANESTHESIOLOGY
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22908-0001
Practice Address - Country:US
Practice Address - Phone:434-982-4368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0001153427367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered