Dr. Samuel Chicano Docena, M.D.
Family Medicine in Fairfield, OH. Individual provider (NPI-1).
NPI number1376600973
StatusActive
Last updated in NPPESAug 6, 2010
Details
- NPI
- 1376600973
- Entity type
- Individual (NPI-1)
- Name
- Dr. Samuel Chicano Docena
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 2, 2007
- Last updated
- Aug 6, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 49019 | OH | Yes |
Practice location
1244 Nilles RdSuite 10
Fairfield, OH 45014-2786
Phone 513-858-6110
Mailing address
1244 Nilles RdSuite 10
Fairfield, OH 45014-2786
Phone 513-858-6110
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