Individual
SAMANTHA DORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2204 S DOBSON RD STE 201, MESA, AZ 85202-6457
(602) 230-7373
(480) 629-8577
Mailing address
3101 N CENTRAL AVE STE 550, PHOENIX, AZ 85012-2635
(602) 230-7373
(602) 230-7373
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5276
AZ
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
5276
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
747718
—
AZ
Enumeration date
10/11/2012
Last updated
11/17/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us