Individual
DR. SAM REED SHIMAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4915 E BASELINE RD, SUITE 112, GILBERT, AZ 85234-2965
(480) 626-6600
(480) 626-6604
Mailing address
4915 E BASELINE RD STE 112, GILBERT, AZ 85234-2966
(480) 626-6600
(480) 626-6604
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
29558
AZ
Other
Enumeration date
02/14/2006
Last updated
10/03/2019
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