Individual
CAROLYN J SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 W S BOULDER RD, STE 110, LAFAYETTE, CO 80026-2752
(303) 415-4355
(303) 666-1982
Mailing address
5450 WESTERN AVE, BOULDER, CO 80301-2709
(303) 415-4355
(303) 666-1982
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31666
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01316660
—
CO
Enumeration date
11/16/2005
Last updated
07/21/2022
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