Organization
SANDERS PODIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY SANDERS DPM (OWNER/ MEMBER)
(605) 880-5874
Entity
Organization
Contact information
Practice address
909 13TH AVE NW, WATERTOWN, SD 57201-1069
(605) 880-5874
(605) 753-1099
Mailing address
909 13TH AVE NW, WATERTOWN, SD 57201-1069
(605) 880-5874
(605) 753-1099
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
208
SD
Other
Enumeration date
07/01/2012
Last updated
06/05/2015
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