Individual
MR. RONALD C SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7525 E BROADWAY RD, STE 2, MESA, AZ 85208-1154
(480) 981-9800
(480) 985-9465
Mailing address
7525 E BROADWAY RD, STE 2, MESA, AZ 85208-1154
(480) 981-9800
(480) 985-9465
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
12133
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223248
—
AZ
01
—
AZ0036950
BCBS AZ
AZ
Enumeration date
07/13/2006
Last updated
07/08/2007
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