Individual
DR. HAROLD LOYD SANDROCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1296 TOD PL NW, WARREN, OH 44485-2474
(330) 306-5030
Mailing address
366 INGRAM DR, BOARDMAN, OH 44512-5856
(330) 758-8772
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-00-2386-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0284259
—
OH
01
—
34-00-2386-S
LICENSE
OH
Enumeration date
05/11/2006
Last updated
12/18/2013
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