Most Relevant Information
Provider Data
| NPI Number: | 1003381633 |
| Provider Name: | SAMUEL DEAN FOX PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 7284 |
Most Important Dates
| Enumeration Date: | 10/10/2018 |
| Last Updated: | 10/10/2018 |
Provider Practice Location
4915 E BASELINE RD STE 102
GILBERT
AZ
852342966
Practice Location Phone/Fax
| Phone: | 4806468660 |
| Fax: | 4806468665 |
Provider Mailing Location
4915 E BASELINE RD STE 102
GILBERT
AZ
852342966
Provider Mailing Phone/Fax
| Phone: | 4806468660 |
| Fax: | 4806468665 |