NPI 1003381633

Samuel Dean Fox, PAC

Practitioner Physician Assistant Gilbert, AZ

Practice location

Address: 4915 E Baseline Rd STE 102, Gilbert, AZ 85234-2966
Phone: (480) 646-8660
Fax: (480) 646-8665

Registered specialties (3)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 7284 (AZ)

Other Physician Assistant providers in Arizona →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 7284 (AZ)

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 7284 (AZ)

Registry record

NPI: 1003381633
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2018
Record last updated: 10 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.