| Doctor Name: | DR. ALICIA RUTH SANDERSON |
| NPI Number: | 1578531919 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | A73662 |
| Business Practice Address: | Bob Wilson Drive Suite 200 Naval Medical Center San Diego San Diego, CA - 92134 |
| Business Phone Number: | 6195329604 |
| Business Fax Number: | |
| Mailing Address: | 1235 River Glen Row, SAN DIEGO |
| State: | CA |
| Postal Code: | 921117424 |
| Phone Number: | 8582791250 |
| Fax Number: | |
| NPI Enumeration Date: | 03/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A73662 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |