Individual
DR. SAMSON GARY SERBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6036 NORTH 19TH AVENUE, SUITE 400B, PHOENIX, AZ 85015-2110
(602) 242-2520
(602) 242-7625
Mailing address
6036 NORTH 19TH AVENUE, SUITE 400B, PHOENIX, AZ 85015-2110
(602) 242-2520
(602) 242-7625
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
17526
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122502
HEALTHNET
AZ
05
—
299124-01
—
AZ
01
—
3354946
CIGNA
AZ
01
—
4062898
AETNA
AZ
01
—
AZ0258960
BLUE CROSS
AZ
Enumeration date
08/16/2006
Last updated
07/08/2007
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