Doctor Name: | RONALD D. SANFORD |
NPI Number: | 1922371533 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DISPENSING OPTICIAN |
License Number: | |
Business Practice Address: | 1920-s.w. Frazier Des Moines, IA - 50315 |
Business Phone Number: | 5152856754 |
Business Fax Number: | 5152856754 |
Mailing Address: | 1920-s.w. Frazier, DES MOINES |
State: | IA |
Postal Code: | 50315 |
Phone Number: | 5152856754 |
Fax Number: | 5152856754 |
NPI Enumeration Date: | 02/13/2012 |
NPI Last Update Date: | 02/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |