Individual
SAMUEL MADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
363A00000X
Physician Assistant
Primary
9982
AZ
Other
Enumeration date
07/04/2019
Last updated
10/18/2024
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