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Individual

SUSANA B SAMANIEGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6001
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6001

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
DR.0072878
CO
208600000X
Surgery Physician
Primary
MD-18366-0
HI

Other

Enumeration date
03/11/2014
Last updated
08/18/2025
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