Individual
SCOTT R SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
349 AUWINALA RD, KAILUA, HI 96734-3434
(253) 777-9630
(888) 449-0690
Mailing address
349 AUWINALA RD, KAILUA, HI 96734-3434
(253) 777-9630
(888) 449-0690
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
15712
HI
207P00000X
Emergency Medicine Physician
D0100063
MD
Other
Enumeration date
07/22/2008
Last updated
07/08/2024
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