# NANCY SAMUDIO MD & PHILIS D RANSOM MD, INC, A PROFESSIONAL MEDICAL COR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093088064
- **Authorized official:** DR. NANCY SAMUDIO MD (PRESIDENT / PARTNER)
- **Authorized official phone:** (909) 881-1722

## Contact information

- **Practice address:** 399 E HIGHLAND AVE, SUITE 516, SAN BERNARDINO, CA 92404-3808
- **Practice address phone:** (909) 881-1722
- **Practice address fax:** (909) 883-6011
- **Mailing address:** 399 E HIGHLAND AVE, SUITE 516, SAN BERNARDINO, CA 92404-3808
- **Mailing address phone:** (909) 881-1722
- **Mailing address fax:** (909) 883-6011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | A82448 | CA | Yes |

## Other

- **Enumeration date:** 02/21/2012
- **Last updated:** 02/28/2012