Individual
DR. JOHN T SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 W 22ND ST, SIOUX FALLS, SD 57105-1521
(605) 312-1000
(604) 312-1001
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
11948
HI
208000000X
Pediatrics Physician
42313
TN
208000000X
Pediatrics Physician
7726
SD
2080P0210X
Pediatric Nephrology Physician
Primary
11841
ND
2080P0210X
Pediatric Nephrology Physician
7726
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17692
—
ND
Enumeration date
10/20/2006
Last updated
09/26/2013
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