Individual
DAVID SANDIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5015 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6803
(219) 508-6424
Mailing address
3144 BREYERTON CV, FORT WAYNE, IN 46814-0002
(219) 508-6424
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28223639A
IN
Other
Enumeration date
10/29/2021
Last updated
02/26/2025
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