Individual
SAMANTHA RIEANN PETRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3255 S RURAL RD, TEMPE, AZ 85282-3853
(480) 304-5467
Mailing address
39285 N HAILEY LN, QUEEN CREEK, AZ 85140-4578
(623) 419-5015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10056
AZ
363AM0700X
Medical Physician Assistant
Primary
10056
AZ
Other
Enumeration date
02/10/2023
Last updated
08/05/2025
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