Individual
CODY M SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
948 N 1300 W, ST GEORGE, UT 84770-4965
(435) 628-9310
Mailing address
948 N 1300 W, ST GEORGE, UT 84770-4965
(435) 628-9310
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
ACM-01167
UT
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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