Individual
MR. ERIC TODD SANDEFUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3325 POCAHONTAS RD, SUITE B, BAKER CITY, OR 97814
(541) 523-1797
(541) 523-1799
Mailing address
3325 POCAHONTAS RD, SUITE B, BAKER CITY, OR 97814
(541) 523-1797
(541) 523-1799
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D020320
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
645470
—
OR
Enumeration date
09/30/2006
Last updated
07/08/2007
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