Individual
DR. DOMINIC EMMANUEL SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
2011012606
MO
208600000X
Surgery Physician
2011012606
MO
208600000X
Surgery Physician
Primary
79560
AZ
2086X0206X
Surgical Oncology Physician
2011012606
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200003351
—
MO
Enumeration date
04/29/2008
Last updated
05/13/2026
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