Individual
SAMUEL MICHAL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PO BOX 31581, PHOENIX, AZ 85046-1581
(602) 228-7206
Mailing address
5300 ANTEQUERA RD NW APT 1906, ALBUQUERQUE, NM 87120-4588
(602) 228-7206
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
54241
AZ
Other
Enumeration date
04/14/2015
Last updated
02/12/2018
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