Individual
MATTHEW SANDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1213 E CLAY ST, RICHMOND, VA 23298-5071
(804) 828-0996
(804) 828-0648
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102203890
VA
207P00000X
Emergency Medicine Physician
Primary
1215361449
VA
2083A0100X
Aerospace Medicine Physician
0102203890
VA
Other
Enumeration date
08/23/2013
Last updated
07/01/2026
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