Individual
NATHAN ALLEN SANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-6173
Mailing address
30 BLANC LN APT 204, SPRINGBORO, OH 45066-9856
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000535
OH
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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