Healthcare Provider Details

I. General information

NPI: 1225667561
Provider Name (Legal Business Name): SAMANTHA FREMBGEN, D.O. PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2020
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5650 E 22ND ST
TUCSON AZ
85711-5525
US

IV. Provider business mailing address

5650 E 22ND ST
TUCSON AZ
85711-5525
US

V. Phone/Fax

Practice location:
  • Phone: 520-372-8575
  • Fax: 520-372-8576
Mailing address:
  • Phone: 520-372-8575
  • Fax: 520-372-8576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA FREMBGEN
Title or Position: PSYCHIATRIST
Credential: DO
Phone: 520-372-8575