# SANDERS MEDICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TriState Integrative Pain Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205194677
- **Authorized official:** DR. BRANT STEVEN SANDERS MD (PRESIDENT)
- **Authorized official phone:** (812) 449-2733

## Contact information

- **Practice address:** 2516 WASHINGTON AVE, EVANSVILLE, IN 47714-2404
- **Practice address phone:** (812) 449-2733
- **Mailing address:** PO BOX 5328, EVANSVILLE, IN 47716-5328
- **Mailing address phone:** (812) 449-2733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01048158A | IN | Yes |

## Other

- **Enumeration date:** 04/24/2012
- **Last updated:** 10/11/2012