Provider Demographics
NPI:1912296609
Name:ANDREWS, SAM WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:SAM
Middle Name:WILLIAM
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PATHOLOGY MSC 08 4640
Mailing Address - Street 2:1 UNIVERSITY OF NEW MEXICO
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131-0001
Mailing Address - Country:US
Mailing Address - Phone:505-925-0518
Mailing Address - Fax:
Practice Address - Street 1:1101 CAMINO DE SALUD NE
Practice Address - Street 2:OFFICE OF THE MEDICAL INVESTIGATOR
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102
Practice Address - Country:US
Practice Address - Phone:505-925-0518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-02
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMMD2011-0521207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic PathologyGroup - Single Specialty