Individual
JASON MICHAEL SAMUELIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
14155 N 83RD AVE, PEORIA, AZ 85381-5639
(623) 773-2873
(623) 414-4922
Mailing address
14155 N 83RD AVE, PEORIA, AZ 85381-5639
(623) 773-2873
(623) 414-4922
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R1783
AZ
2085R0001X
Radiation Oncology Physician
Primary
006651
AZ
Other
Enumeration date
06/08/2010
Last updated
01/08/2020
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