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Individual

DR. SAMANTHA LOUISE MEDINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
6678 W THUNDERBIRD RD, GLENDALE, AZ 85306-3721
(602) 978-1500
(602) 978-0409
Mailing address
6678 W THUNDERBIRD RD, GLENDALE, AZ 85306-3721
(602) 978-1500
(602) 978-0409

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
006385
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1598085474
NPI
AZ
Enumeration date
06/02/2010
Last updated
04/25/2024
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