Individual
WILLIAM J SANDBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9001
(800) 926-8273
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G63853
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074218000
—
MN
Enumeration date
12/30/2005
Last updated
08/29/2019
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