Individual
DR. JOHN PETTEY SANDIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
213 SOUTH DRIVE, NATCHITOCHES, LA 71457
(318) 352-6120
(318) 352-6061
Mailing address
3444 MASONIC DR, ALEXANDRIA, LA 71301-3615
(318) 473-9556
(318) 441-8339
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
06233R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1334707
—
LA
Enumeration date
09/19/2006
Last updated
01/18/2017
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