Doctor Name: | DR. OSCAR LEVERN SANDERS |
NPI Number: | 1487804068 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 0101244018 |
Business Practice Address: | 4311 N Washington Blvd 99 Mss/dpf Suite 102 Nellis Afb, NV - 891917085 |
Business Phone Number: | 7026522711 |
Business Fax Number: | |
Mailing Address: | 10161 Dorrell Lane, 3139 LAS VEGAS |
State: | NV |
Postal Code: | 89166 |
Phone Number: | 8132941570 |
Fax Number: | |
NPI Enumeration Date: | 09/19/2008 |
NPI Last Update Date: | 09/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0101244018 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |