Individual
JEFFREY STEWART SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3501 A WEST TRUMAN BLVD., JEFFERSON CITY, MO 65109
(573) 636-0635
(573) 659-4685
Mailing address
3501 A WEST TRUMAN BLVD., JEFFERSON CITY, MO 65109
(573) 636-0635
(573) 659-4685
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R5J50
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110045598
RAILROAD MEDICARE
MO
05
—
203209507
—
MO
Enumeration date
09/27/2005
Last updated
06/17/2009
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