Individual
KARL P SANDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
402 S SCENIC 7 DR, OLA, AR 72853-8852
(479) 489-5126
(479) 489-5174
Mailing address
PO BOX 639, DANVILLE, AR 72833-0639
(479) 495-2241
(479) 495-6290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E1317
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131589001
—
AR
Enumeration date
06/27/2006
Last updated
09/20/2021
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