Individual
JILL M SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
204 PATRICK AVE, URBANA, OH 43078-2302
(937) 484-6157
(937) 484-6181
Mailing address
3250 MIDDLE URBANA RD, SPRINGFIELD, OH 45502-9285
(937) 399-7777
(937) 399-6794
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
50-001833
OH
363A00000X
Physician Assistant
Primary
50.001833
OH
Other
Enumeration date
05/27/2005
Last updated
02/12/2018
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