Individual
SUSAN F SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3649 MAIN AVE, DURANGO, CO 81301-4030
(970) 375-1707
(970) 382-9518
Mailing address
3649 MAIN AVE, DURANGO, CO 81301-4030
(970) 375-1707
(970) 382-9518
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
28524
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070007721
MEDICARE RAILROAD
CO
01
—
20898
LOVELACE
CO
01
—
841281385/02
PACIFICARE
CO
01
—
841281385001
ROCKY MOUNTAIN HMO
CO
01
—
SA79901
BC/BS
CO
Enumeration date
07/31/2006
Last updated
10/26/2011
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