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SAMUEL DEVICTOR

Facial Plastic Surgery Physician

NPI: 1619301884IndividualAccepts Medicare

Specialties, Licenses & Credentials

Facial Plastic Surgery PhysicianPrimary

Otolaryngology — Facial Plastic Surgery

Code: 207YS0123X

68902(AZ)

CMS Specialties

Additional

Education

MERCER UNIVERSITY SCHOOL OF MEDICINE

Class of 2017

Contact & Hours

Via practice · 2 locations total

Address
11130 N TATUM BLVD STE 100
PHOENIX, AZ 85028

Quick Facts

NPI
1619301884
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
2
Years in Practice
9

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