Individual
BRUCE SAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4045 E BELL RD, SUITE 139, PHOENIX, AZ 85032-2236
(602) 996-8888
(602) 992-2280
Mailing address
2525 W BERYL AVE, PHOENIX, AZ 85021-1606
(602) 439-6780
(602) 467-4733
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
1841
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z1370
HEALTHNET
AZ
05
—
232380
—
AZ
01
—
AZ0068280
BCBS
AZ
Enumeration date
08/31/2006
Last updated
11/27/2012
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