Individual
DR. BRENT SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4901 LAC DE VILLE BLVD BLDG D, ROCHESTER, NY 14618-5647
(585) 275-5321
Mailing address
601 ELMWOOD AVE BOX 665, ROCHESTER, NY 14642-0001
(585) 275-5321
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
318848
NY
Other
Enumeration date
06/26/2017
Last updated
07/13/2023
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