Individual
ANTHONY B SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4967 TRINITY DR, LOS ALAMOS, NM 87544-3009
(505) 699-0202
(505) 662-4712
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(505) 662-7122
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
84-112
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39461
—
NM
Enumeration date
06/09/2005
Last updated
04/14/2025
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