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SANDRA SALDANA CERVANTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
424 S 56TH ST STE 110, PHOENIX, AZ 85034-2177
(602) 685-5166
Mailing address
PO BOX 42210, PHOENIX, AZ 85080-2210
(623) 266-7770
(608) 756-6572

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
67080-20
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2014-00637
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
6222
NE
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
73041
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1487855854
NC
01
19CQ9
BCBS NC
NC
Enumeration date
05/31/2007
Last updated
06/03/2024
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