Individual
DANIELLE M SANDBOTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1105 SW 30TH CT, MOORE, OK 73160-2887
(405) 378-2727
Mailing address
1105 SW 30TH CT, MOORE, OK 73160-2887
(405) 378-2727
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
6749
OK
Other
Enumeration date
07/06/2018
Last updated
04/21/2025
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