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Organization

GARRY SANDERS INC

Active
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Organization

GARRY SANDERS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARRY SANDERS MD (PRESIDENT)
(859) 351-0946
Entity
Organization

Contact information

Practice address
4169 WESTPORT RD, LOUISVILLE, KY 40207-2747
(859) 351-0946
Mailing address
838 E HIGH ST # 258, LEXINGTON, KY 40502-2107

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19279
KY

Other

Enumeration date
10/20/2009
Last updated
10/20/2009
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