SAMUEL PONCE NANDIN

GOODYEAR, AZ
NPI1124180054
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: AZ  az15582)
Enumeration Date2006-12-15
Last Update Date2018-06-21
Business Address
Dr. SAMUEL PONCE NANDIN M.D.
13851 W LA MAR BLVD STE C
GOODYEAR, AZ 85338-1389
Phone number: 623-925-2622
Mailing Address
Dr. SAMUEL PONCE NANDIN M.D.
13851 W LA MAR BLVD STE C
GOODYEAR, AZ 85338-1389
Phone number: 623-925-2622
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