Individual
JEFFREY A SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-2704
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
T5022
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
T5022
TX
208D00000X
General Practice Physician
T5022
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2019
Last updated
06/13/2025
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