Organization
SANDOVAL CONSULTING PLLC
Active
Other names
Anthony Sandoval, MD
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY SANDOVAL MD (PROVIDER)
(623) 583-2073
Entity
Organization
Contact information
Practice address
11124 W CALIFORNIA AVE, SUITE G, YOUNGTOWN, AZ 85363-1246
(623) 583-2073
(623) 583-1099
Mailing address
PO BOX 1149, PEORIA, AZ 85380-1149
(623) 583-2073
(623) 583-1099
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
21578
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198144
—
AZ
Enumeration date
11/18/2013
Last updated
03/03/2014
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