Individual
MR. JOHN GREGORY SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA-MSN
Contact information
Practice address
2501 CAPEHART RD, OFFUTT A F B, NE 68113-1043
(402) 294-2135
Mailing address
1105 MAGNOLIA CIR, PAPILLION, NE 68046-6218
(402) 614-8402
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100742
NE
Other
Enumeration date
09/07/2005
Last updated
07/08/2007
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