SAMUEL DEAN FOX

GILBERT, AZ
NPI1003381633
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  7284)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: AZ  7284)
363AS0400X Physician Assistant, Surgical
(Licence: AZ  7284)
Enumeration Date2018-10-10
Last Update Date2018-10-10
Business Address
SAMUEL DEAN FOX PA-C
4915 E BASELINE RD STE 102
GILBERT, AZ 85234-2966
Phone number: 480-646-8660
Mailing Address
SAMUEL DEAN FOX PA-C
4915 E BASELINE RD STE 102
GILBERT, AZ 85234-2966
Phone number: 480-646-8660