Individual
DALLAS R SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1350 DES MOINES ST STE 100, DES MOINES, IA 50309-5507
(515) 643-5700
(515) 643-5739
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-5700
(515) 643-5739
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001546
IA
363AM0700X
Medical Physician Assistant
01546
IA
Other
Enumeration date
01/26/2007
Last updated
01/17/2023
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