Individual
SAMUEL ANZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3130 N CLAYTON ST, DENVER, CO 80205-4228
(614) 256-3080
Mailing address
1078 LAKE PT, WESTERVILLE, OH 43082-7474
(614) 256-3080
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0002699
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/21/2021
Last updated
01/14/2025
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