Individual
DAVID ALAN SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
(803) 434-4663
(803) 434-3894
Mailing address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
(541) 472-7000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
82148
SC
207P00000X
Emergency Medicine Physician
Primary
DO213921
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
821481
—
SC
Enumeration date
04/14/2017
Last updated
09/16/2024
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