Doctor Name: | FRANCISCO SANDOVAL |
NPI Number: | 1043233505 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NP |
License Number: | AP2413 |
Business Practice Address: | 1852 N Mastick Way Nogales, AZ - 856211063 |
Business Phone Number: | 5202811550 |
Business Fax Number: | 5202812335 |
Mailing Address: | 2471 N Calle Piedras Negras, NOGALES |
State: | AZ |
Postal Code: | 856213424 |
Phone Number: | 5202819353 |
Fax Number: | |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP2413 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |