Individual
SAMANTHA BEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPAS
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
1206 HERMOSA DR SE, ALBUQUERQUE, NM 87108-4317
(505) 670-5104
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2017-0058
NM
Other
Enumeration date
08/27/2017
Last updated
08/27/2017
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