Individual
RONALD T. SANDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1075 N CURTIS RD STE 200, BOISE, ID 83706-1350
(208) 367-8333
(208) 367-2003
Mailing address
3340 EAST GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1083A
ID
Other
Enumeration date
07/22/2011
Last updated
12/29/2011
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