Samuel Doctorian III, B.S.
NPI #1649766775 in Azusa, California
Provider Information
- NPI Number
- 1649766775
- Entity Type
- Individual
- Name
- Samuel Doctorian III, B.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- B.S.
- Enumeration Date
- Jul 1, 2018
- Last Updated
- Jul 1, 2018
Practice Location
- Address
- 901 E ALOSTA AVE
- City
- Azusa
- State
- California
- ZIP Code
- 91702-2701
- Phone
- (626) 969-3434
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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