JOHAN SAMANTA, MD PC
Ambulatory Health at Dreamy Draw Dr, Phoenix, AZ

License number
Arizona 25284
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. JOHAN E SAMANTA M.D.
Title: OWNER
Phone: (602) 277-2228
Address
Address
7500 N Dreamy Draw Dr SUITE 133, Phoenix, AZ 85020
National Provider ID: 1871782466
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JOHAN SAMANTA M.D., PC

2610 N 3 St STE A, Phoenix, AZ 85004

Industry:
Neurologist
Doing business as:
Johan Samanta MD
Registration:
Apr 5, 2001
Site:
mdsdocs.com
Phone:
(602) 277-2228 (Phone)
State ID:
-0984937-7
Expiration:
PERPETUAL
S:
Johan Samanta M D (President), 2610 N 3 St STE A, Phoenix, AZ 85004 (Physical),Johan Erik Sebastian Samanta
Agent:
St Service Co,4250 N Drinkwater Blvd 4, Scottsdale, AZ 85251 (Physical)

Johan Samanta MD PC

3610 N 44 St STE 100, Phoenix, AZ 85018

Industry:
Offices and Clinics of Medical Doctors
Phone:
(602) 277-2222 (Phone)
Description:
Offices of Physicians (except Mental Health Specialists)
Managers:
Mark Stacy (Manager),Johan Samanta (Manager)
SIC:
8011 - Offices and Clinics of Doctors of Medicine
Company size:
4

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