Doctor Name: | ALLAN D SANDERS |
NPI Number: | 1003906199 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ARNP |
License Number: | AP30007100 |
Business Practice Address: | 107 S Division St Spokane, WA - 992021510 |
Business Phone Number: | 5098384651 |
Business Fax Number: | 5093632762 |
Mailing Address: | 107 S Division St, SPOKANE |
State: | WA |
Postal Code: | 992021510 |
Phone Number: | 5098384651 |
Fax Number: | 5093632762 |
NPI Enumeration Date: | 10/13/2006 |
NPI Last Update Date: | 07/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP30007100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |