Individual
MR. ROBERT LEE SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3317 N WIMBERLY DR, FAYETTEVILLE, AR 72703-4056
(479) 521-2752
(479) 444-6942
Mailing address
PO BOX 1608, FAYETTEVILLE, AR 72702-1608
(479) 587-3130
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
PA-449
AR
363A00000X
Physician Assistant
Primary
PA-449
AR
Other
Enumeration date
04/18/2011
Last updated
03/05/2024
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