Individual
JARRET SANDERS
Active
Individual
JARRET SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
E3813
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166317001
—
AR
01
—
5H160
BCBS
AR
Enumeration date
04/09/2007
Last updated
06/10/2010
Update your record
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