SAMUEL DEVICTOR

PHOENIX, AZ
NPI1619301884
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207YS0123X Otolaryngology, Facial Plastic Surgery
(Licence: AZ  68902)
Enumeration Date2013-08-23
Last Update Date2023-08-24
Business Address
SAMUEL DEVICTOR
11130 N TATUM BLVD STE 100
PHOENIX, AZ 85028-1630
Phone number: 602-737-1361
Mailing Address
SAMUEL DEVICTOR
5310 HARVEST HILL RD STE 290
DALLAS, TX 75230-5826
Phone number:
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