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Individual

RICHARD AARON SAMUDIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C, MSPAS, MPH

Contact information

Practice address
2335 E KASHIAN LN, SUITE 301, FRESNO, CA 93701-2230
(559) 320-0530
(559) 320-0532
Mailing address
4910 E CLINTON WAY, SUITE 101, FRESNO, CA 93727-1560
(559) 443-2682
(559) 443-2681

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA22017
CA
363AS0400X
Surgical Physician Assistant
Primary
PA22017
CA

Other

Enumeration date
11/01/2011
Last updated
02/14/2013
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