Devictor, Samuel

Devictor, Samuel is an sole proprietor health care provider with primary practice located at 11130 N Tatum Blvd Ste 100 , Phoenix AZ 85028-1630. He recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as his primary health care specialty. Devictor, Samuel can be contacted via phone (602) 737-1361.

Contact Information

Primary practice address
11130 N Tatum Blvd Ste 100 Phoenix AZ 85028-1630
Phone: (602) 737-1361
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 68902 Arizona

Profile Details

NPI number 1619301884
LBN Legal business name Devictor, Samuel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2013
Last updated Aug 24th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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