Individual
DR. SAM EDWIN SATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3910 N CAMPBELL AVE, TUCSON, AZ 85719-1428
(520) 323-2466
(520) 323-2968
Mailing address
6440 N THIMBLE PASS, TUCSON, AZ 85750-1321
(520) 529-1917
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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