Individual
MR. ANTHONY SANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
160 E 6TH PL, MESA, AZ 85201-5068
(480) 251-1223
Mailing address
3636 E INVERNESS AVE, APT. 2067, MESA, AZ 85206-3862
(480) 251-1223
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
AZ
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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