Individual
SAMANTHA IRISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPED
Contact information
Practice address
8050 E GERMANN RD, MESA, AZ 85212
(520) 990-5728
Mailing address
10563 E CAROLINA WILLOW LN, TUCSON, AZ 85747-9538
(520) 990-5728
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
CPED4668
AZ
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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