Individual
SAMANTHA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9515 W CAMELBACK RD STE 114, PHOENIX, AZ 85037-1365
(623) 777-1720
Mailing address
811 N 3RD ST APT 2016, PHOENIX, AZ 85004-1809
(925) 330-7238
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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