Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SAMUEL PONCE NANDIN, M.D.
Active Sole ProprietorDR. SAMUEL PONCE NANDIN, M.D. is a General Practice healthcare provider located in GOODYEAR, Arizona. NPI 1124180054 is currently active in the NPPES registry. Verify at CMS.
General Practice · GOODYEAR, AZ
Registration Details
- NPI Number
- 1124180054
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 15, 2006 (19.675093599801 yrs)
- Last Updated
- Jun 21, 2018
- License
-
AZ15582 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13851 W LA MAR BLVDSTE CGOODYEAR, AZ, 853381389Browse AZ providers · Browse ZIP 85338
- Phone
- 6239252622
- Fax
- 6239259260
- Primary Specialty
-
General Practice
208D00000X
Other General Practice Providers in GOODYEAR, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. KEVIN JOHN HASELHORST | MD | 1831170935 |
| DR. SEAN MICHAEL PENWELL | M.D. | 1346561412 |
| LINDA-MICHELLE LEDESMA | D.O. | 1801181581 |
| DR. BAIYWO ROP | M.D. | 1740543339 |
| JAMILA RAHMAAN-COLDER | DO, MS | 1427686625 |
| BRANDON RAYNE VERDONI | MD | 1992409460 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.