Individual
BRUCE SAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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
Update your record
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