Individual
DR. JONATHAN ALLEN SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
533 BOLIVAR ST, RM 508, NEW ORLEANS, LA 70112-1349
(504) 568-4750
Mailing address
533 BOLIVAR ST, RM 508, NEW ORLEANS, LA 70112-1349
(504) 568-4750
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
201513
LA
Other
Enumeration date
10/31/2007
Last updated
09/19/2012
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