Individual
SAMER IMAD IDRISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9225 N 3RD ST, # 304, PHOENIX, AZ 85020-2439
(602) 445-0751
(602) 424-8128
Mailing address
9225 N 3RD ST, # 304, PHOENIX, AZ 85020-2439
(602) 445-0751
(602) 424-8128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4469
AZ
Other
Enumeration date
04/02/2007
Last updated
08/21/2009
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