Individual
DR. KYLE WESLEY SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(056) 096-2285
Mailing address
PO BOX 2019, FARMINGTON, NM 87499-2019
(505) 325-1572
(505) 327-4887
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
069136
GA
2085R0202X
Diagnostic Radiology Physician
69136
GA
2085R0202X
Diagnostic Radiology Physician
Primary
MD2017-0879
NM
2085R0204X
Vascular & Interventional Radiology Physician
036.140664
IL
2085R0204X
Vascular & Interventional Radiology Physician
2016009166
MO
2085R0204X
Vascular & Interventional Radiology Physician
55072-020
WI
2085R0204X
Vascular & Interventional Radiology Physician
9532955-1205
UT
2085R0204X
Vascular & Interventional Radiology Physician
E-9650
AR
Other
Enumeration date
06/23/2008
Last updated
11/20/2024
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