Individual
MRS. SUZANA MARCELLA SAMUEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4045 E BELL RD, STE 121, PHOENIX, AZ 85032-2236
(602) 867-2884
(602) 482-2872
Mailing address
4045 E BELL RD, STE 121, PHOENIX, AZ 85032-2236
(602) 867-2884
(602) 482-2872
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
13916
AZ
207V00000X
Obstetrics & Gynecology Physician
15102
NY
207V00000X
Obstetrics & Gynecology Physician
30897
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260084
—
AZ
Enumeration date
07/07/2005
Last updated
07/08/2007
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