Individual
SAMUEL K SIMISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 694-1000
Mailing address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 694-1000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1306688411
AZ
390200000X
Student in an Organized Health Care Education/Training Program
1306688411
AZ
Other
Enumeration date
06/10/2024
Last updated
07/23/2024
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