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Contact Information

JASON M SAMUELIAN, DO
14155 N 83RD AVE
PEORIA, AZ85381-5639
 Phone: 623-773-2873
 Fax: 623-414-4922
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JASON M SAMUELIAN · (Male)

NPI # 1790005197
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/08/2010
Last updated 01/08/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 006651
  • AZ License # R1783
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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