Individual
SAMANTHA GARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1146 N CASS ST STE C, WABASH, IN 46992-1082
(260) 560-3001
Mailing address
1146 N CASS ST STE C, WABASH, IN 46992-1082
(260) 560-3001
(260) 560-3002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004134A
IN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/25/2022
Last updated
04/28/2025
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