Individual
SAMANTHA LEIGH GAETANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 E MCDOWELL RD BLDG A2, PHOENIX, AZ 85006-2612
(602) 839-3949
Mailing address
4333 N 6TH DR APT 235, PHOENIX, AZ 85013-3193
(201) 595-9990
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
74471
AZ
207P00000X
Emergency Medicine Physician
MT221518
PA
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
R80700
AZ
Other
Enumeration date
06/10/2020
Last updated
10/24/2024
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