MEDICARE: SAMANTHA FREMBGEN, D.O. PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225667561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMANTHA FREMBGEN, D.O. PLLC

Provider Business Mailing Address
First Line	:	5650 E 22ND ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85711-5525
Country	:	US
Telephone Number	:	520-372-8575
Fax Number	:	520-372-8576

Provider Business Practice Location Address
First Line	:	5650 E 22ND ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85711-5525
Country	:	US
Telephone Number	:	520-372-8575
Fax Number	:	520-372-8576

Authorized Official
Title or Position	:	PSYCHIATRIST
Name	:	SAMANTHA FREMBGEN
Credential	:	DO
Telephone Number	:	520-372-8575

Provider Enumeration Date	:	04/08/2020
Last Update Date	:	12/18/2025

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