Individual provider · Type 1 NPI

Samuel C. McIntyre, PA-C

Physician Assistant · Fort Defiance, AZ

NPI number 1942085014 Active

Practice location

Corner Of Route N12 & N7
Fort Defiance, AZ 86504-0649

Mailing address

PO Box 649
Fort Defiance, AZ 86504-0649

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA2024-0044 (NM)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1942085014

Samuel C. McIntyre, PA-C's National Provider Identifier is 1942085014, issued on Aug 28, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Defiance, AZ. The record was last updated on Sep 29, 2026.