Provider Demographics
NPI:1952136921
Name:BYINGTON, SAMANTHA BLAIR (DC)
Entity type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:BLAIR
Last Name:BYINGTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:927 W FOREST MEADOWS ST APT 340
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-8511
Mailing Address - Country:US
Mailing Address - Phone:314-489-2284
Mailing Address - Fax:
Practice Address - Street 1:2700 S WOODLANDS VLG BLVD STE 440
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-2935
Practice Address - Country:US
Practice Address - Phone:928-449-1169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-07
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9339111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor