Individual
DR. SAM EDWIN SATO
Active
Individual
DR. SAM EDWIN SATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
14758
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005302638
CIGNA
AZ
01
—
02719
TRICARE
AZ
01
—
1Z2321
HEALTHNET
AZ
05
—
247751
—
AZ
01
—
AZ0181600
BLUE CROSS
AZ
Enumeration date
06/28/2005
Last updated
06/27/2012
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