# SANDY R DILLARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1659324937
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 0422335 | KS | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 03/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 050032602 | RR MEDICARE GROUP CQ2302 | — |
| 05 | — | 100137650C | — | KS |
| 01 | — | 106160 | BCBS OF KS | KS |