Individual
REBECCA L. SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3335 S CRATER RD STE 500, PETERSBURG, VA 23805-9396
(804) 504-4610
(804) 709-0041
Mailing address
PO BOX 639969, CINCINNATI, OH 45263-9969
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101257948
VA
207X00000X
Orthopaedic Surgery Physician
DR.0062586
CO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
12792808-1205
UT
Other
Enumeration date
06/02/2013
Last updated
06/10/2024
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