Individual
DR. ALAN R. SANDIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3619 RICHARDSON SQUARE DR, SUITE 170, ARNOLD, MO 63010
(636) 717-6776
(314) 525-4055
Mailing address
3619 RICHARDSON SQUARE DR, SUITE 170, ARNOLD, MO 63010
(636) 717-6776
(314) 525-4055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2002003294
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205929805
—
MO
Enumeration date
03/01/2006
Last updated
06/07/2010
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