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Individual
DR. ARMANDO C SANDOVAL
Active
Individual
DR. ARMANDO C SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21335
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047428
ANTHEM
KY
01
—
080113180
KY RR MCR
KY
01
—
21335
KY LICENSE
KY
05
—
64213358
—
KY
Enumeration date
08/03/2006
Last updated
08/03/2015
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