# SAM NAFICY, MD, PS, INC

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

## Provider details

- **NPI number:** 1265614523
- **Authorized official:** DR. SAM NAFICY MD (DIRECTOR)
- **Authorized official phone:** (425) 450-0880

## Contact information

- **Practice address:** 1110 112TH AVE NE, SUITE 150, BELLEVUE, WA 98004-4509
- **Practice address phone:** (425) 450-0880
- **Practice address fax:** (425) 450-0883
- **Mailing address:** 1110 112TH AVE NE, SUITE 150, BELLEVUE, WA 98004-4509
- **Mailing address phone:** (425) 450-0880
- **Mailing address fax:** (425) 450-0883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | HC00140296 | WA | Yes |

## Other

- **Enumeration date:** 11/28/2007
- **Last updated:** 02/19/2008