Doctor Name: | ROGER COBBAW SANDERS |
NPI Number: | 1295823151 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 98384 |
Business Practice Address: | 3917 West Rd Suite 250 Los Alamos Womens Health Services Los Alamos, NM - 87544 |
Business Phone Number: | 5056624412 |
Business Fax Number: | 5056616531 |
Mailing Address: | Hir 74 Box 24702, EL PRADO |
State: | NM |
Postal Code: | 87529 |
Phone Number: | 5057768580 |
Fax Number: | 5057769640 |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085U0001X |
License Number: | 98384 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Ultrasound |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |