Dorman, Samantha

Dorman, Samantha is an individual health care provider with primary practice located at 2204 S Dobson Rd Ste 201 , Mesa AZ 85202-6457. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Dorman, Samantha can be contacted via phone (602) 230-7373.

Contact Information

Primary practice address
2204 S Dobson Rd Ste 201 Mesa AZ 85202-6457
Phone: (602) 230-7373
Fax: (480) 629-8577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5276 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 5276 Arizona

Profile Details

NPI number 1417209644
LBN Legal business name Dorman, Samantha
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2012
Last updated Nov 17th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1417209644 NPPES
Arizona MEDICAID 747718

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