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Individual
DR. PHILLIP ANTHONY SANDIFER
Active
Individual
DR. PHILLIP ANTHONY SANDIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25801
MS
207X00000X
Orthopaedic Surgery Physician
Primary
T-2600
MS
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
10277685-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04526240
—
MS
Enumeration date
07/02/2012
Last updated
07/21/2020
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