Individual
SAMUEL HAO ZAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
5779 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Mailing address
5779 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2188
AZ
363AS0400X
Surgical Physician Assistant
2188
AZ
Other
Enumeration date
11/22/2005
Last updated
03/20/2019
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