SAMUEL ETIENNE

TEMPE, AZ
NPI1134707300
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: AZ  8319)
Enumeration Date2021-03-30
Last Update Date2023-03-01
Business Address
SAMUEL ETIENNE Dr., PA
2145 E WARNER RD STE 104
TEMPE, AZ 85284-3549
Phone number: 480-664-9443
Mailing Address
SAMUEL ETIENNE Dr., PA
1839 S ALMA SCHOOL RD STE 354
MESA, AZ 85210-3028
Phone number: 480-726-2287