Individual
DR. ALANNA LAUREN SANDACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1520 NE RIDDELL RD STE 110, BREMERTON, WA 98310-3005
(360) 228-7246
Mailing address
1520 NE RIDDELL RD STE 110, BREMERTON, WA 98310-3005
(360) 228-7246
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
OP00002318
WA
208D00000X
General Practice Physician
02003485A
IN
208D00000X
General Practice Physician
02003485B
IN
208D00000X
General Practice Physician
268740
NY
208D00000X
General Practice Physician
Primary
OP00002318
WA
Other
Enumeration date
05/23/2007
Last updated
02/08/2023
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