Individual
DR. ALAN BLAKE SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2050 KENNY RD, COLUMBUS, OH 43221-3502
(614) 293-4969
(614) 293-4688
Mailing address
700 ACKERMAN RD, SUITE 570, COLUMBUS, OH 43202-1559
(614) 293-4969
(614) 293-4688
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35098934
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0086032
—
OH
01
—
P01247817
RAILROAD MEDICARE
OH
Enumeration date
06/21/2008
Last updated
09/30/2021
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