Individual
DR. JOHN DAVID SANDEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 WILLOW CREEK RD, SUITE F, PRESCOTT, AZ 86301-1645
(928) 445-0300
(928) 445-1674
Mailing address
1000 WILLOW CREEK RD, SUITE F, PRESCOTT, AZ 86301-1645
(928) 445-0300
(928) 445-1674
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13917
AZ
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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