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Organization
SAND PLASTIC SURGERY PLLC
Active
Organization
SAND PLASTIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN P SAND MD (MANAGING DIRECTOR)
(095) 324-2980
Entity
Organization
Contact information
Practice address
307 W 6TH AVE STE 200, SPOKANE, WA 99204-2502
(509) 324-2980
Mailing address
307 W 6TH AVE STE 200, SPOKANE, WA 99204-2502
(095) 324-2980
(509) 418-9462
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
—
NULL
207YS0123X
Facial Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2201492
—
WA
Enumeration date
09/30/2021
Last updated
10/06/2023
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