Individual
SAMANTHA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 N CENTRAL AVE STE 105, PHOENIX, AZ 85004-4416
(602) 255-7653
Mailing address
1 N CENTRAL AVE STE 105, PHOENIX, AZ 85004-4416
(602) 255-7653
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10691
AZ
Other
Enumeration date
09/12/2024
Last updated
09/19/2024
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