Individual
DR. JUAN CARLOS SAMAYOA ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
72902
MN
2080P0202X
Pediatric Cardiology Physician
MD61213463
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629411970
—
WA
Enumeration date
04/16/2013
Last updated
12/15/2022
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