Doctor Name: | DR. ILSA SANCHEZ |
NPI Number: | 1821046608 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | R4284 |
Business Practice Address: | 200 E Military Rd Marion, AR - 723641811 |
Business Phone Number: | 8707399300 |
Business Fax Number: | 8707392209 |
Mailing Address: | 200 E Military Rd, MARION |
State: | AR |
Postal Code: | 723641811 |
Phone Number: | 8707399300 |
Fax Number: | 8707392209 |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 01/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | R4284 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |