Individual
DR. ANGELA MARIE SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 977-8462
Mailing address
1008 S SPRING AVE FL 2, SAINT LOUIS, MO 63110-2520
(314) 977-8462
(314) 977-3370
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
2013023325
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
MO
Other
Enumeration date
06/23/2009
Last updated
03/12/2021
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