Individual provider · Type 1 NPI

Shandiin Allura Sam

Family Medicine Physician · Camp Verde, AZ

NPI number 1700466950 Active

Practice location

2400 W Datsi St
Camp Verde, AZ 86322-8412

Fax (602) 263-1619

Mailing address

PO Box 95460
Cleveland, OH 44101-0033

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X73786 (AZ)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1700466950

Shandiin Allura Sam's National Provider Identifier is 1700466950, issued on Apr 12, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Camp Verde, AZ. The record was last updated on Jun 3, 2026.