Individual
BARRY VAUGHN SANDOVAL
Active
Individual
BARRY VAUGHN SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
31864
AZ
207W00000X
Ophthalmology Physician
Primary
MD00048106
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806458
—
AZ
01
—
A20739210
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
12/29/2006
Last updated
08/26/2020
Update your record
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