Individual provider · Type 1 NPI

Samuel Kobina Desouza Jr., PA-C

Medical Physician Assistant · Mesa, AZ

NPI number 1700419181 Active

Practice location

1500 S Dobson Rd Ste 202
Mesa, AZ 85202-4724

Call (866) 974-2673 Map

Other practice locations

  • 4120 N 22nd St Unit 2, Phoenix, AZ 85016-6114 · (303) 547-5603

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1700419181

Samuel Kobina Desouza Jr., PA-C's National Provider Identifier is 1700419181, issued on Feb 13, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mesa, AZ. The record was last updated on Nov 9, 2020.