Individual
THOMAS L. SANDERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3105 MCCLELLAND BLVD, JOPLIN, MO 64804-1640
(417) 347-5400
(417) 347-5709
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-5400
(417) 347-5709
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2019045626
MO
207X00000X
Orthopaedic Surgery Physician
56709
MN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
56709
MN
Other
Enumeration date
07/03/2012
Last updated
02/12/2020
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