Individual
IVYNNELL SANDIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
BANNER BAYWOOD MEDICAL CENTER, 6644 E. BAYWOOD AVE, MESA, AZ 85206
(480) 981-2000
Mailing address
10145 N 107TH ST, SCOTTSDALE, AZ 85258-6094
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
24856
AZ
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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