Dr Jody Leona Samuelson, DC | |
3919 W Cactus Rd, Phoenix, AZ 85029-2935 | |
(602) 547-1860 | |
(602) 547-1861 |
Full Name | Dr Jody Leona Samuelson |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 30 Years |
Location | 3919 W Cactus Rd, Phoenix, Arizona |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205818507 | NPI | - | NPPES |
AZ0939090 | Other | AZ | BC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 5356 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oracle Industries I Ltd | 6305821653 | 4 |
Provider Name | Oracle Industries I Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215928734 PECOS PAC ID: 6305821653 Enrollment ID: O20040621001421 |
Mailing Address | Practice Location Address |
---|---|
Dr Jody Leona Samuelson, DC 3919 W Cactus Rd, Phoenix, AZ 85029-2935 Ph: (602) 547-1860 | Dr Jody Leona Samuelson, DC 3919 W Cactus Rd, Phoenix, AZ 85029-2935 Ph: (602) 547-1860 |
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