Individual
SAMUEL ETIENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DR., PA
Contact information
Practice address
2145 E WARNER RD STE 104, TEMPE, AZ 85284-3549
(480) 664-9443
(480) 664-9378
Mailing address
1839 S ALMA SCHOOL RD STE 354, MESA, AZ 85210-3028
(480) 726-2287
(888) 503-3312
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8319
AZ
Other
Enumeration date
03/30/2021
Last updated
03/01/2023
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