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NPI Code Detail

MEDICARE: DR. SAMUEL EFRAIN SANCHEZ D.O.

MEDICARE:  DR. SAMUEL EFRAIN SANCHEZ  D.O.
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
1207QG0300XGeriatric Medicine (Family Medicine) Physician005911AZ

Other Identifiers

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

General Provider Information

NPI Number : 1780693861
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMUEL EFRAIN SANCHEZ D.O.
Provider Business Mailing Address
First Line : PO BOX 1775
Second Line :
City : ARIZONA CITY
State : AZ
Zip : 85123-1290
Country : US
Telephone Number : 520-466-5774
Fax Number : 520-494-0319
Provider Business Practice Location Address
First Line : 13060 S SUNDLAND GIN
Second Line :
City : ARIZONA CITY
State : AZ
Zip : 85123-1290
Country : US
Telephone Number : 520-466-5774
Fax Number : 520-494-0319
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2006
Last Update Date : 04/24/2015

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Directions to “ DR. SAMUEL EFRAIN SANCHEZ D.O.” Practice Location

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