Individual
SEAN J SANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-3382
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0001840
CO
363AS0400X
Surgical Physician Assistant
Primary
PA.0001840
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017229
KAISER-COMMERCIAL NUMBER
—
05
—
90589319
—
CO
Enumeration date
03/07/2007
Last updated
03/29/2021
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