Sam's West INC

Practice location

Address

2709 Walton Way, Marion, IL 62959-4901

Phone

(618) 997-8945

Mailing address

702 SW 8th St, Bentonville, AR 72716-6209

Authorised official

Name

Kimberly Canonic

Title

Senior Director, Enrollment

Phone

(480) 853-0515

Registered specialties (2)

Registry record

NPI

1306087820

Entity type

Organization

NPI issued

12 Mar 2009

Record last updated

18 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.