Individual
SAMUEL LEE SALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2301 HOUSE AVE STE 507, CHEYENNE, WY 82001-3179
(307) 635-2562
(307) 638-2074
Mailing address
2601 E ROOSEVELT ST, DEPT. OF SURGERY, PHOENIX, AZ 85008-4973
(602) 344-5445
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17448C
WY
208600000X
Surgery Physician
49155
CO
208600000X
Surgery Physician
R868
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06977774
—
CO
Enumeration date
04/03/2008
Last updated
12/13/2024
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