Individual
JENNIFER M SANDERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
419 6TH STREET, SUITE 202, CRESTED BUTTE, CA 81224
(970) 349-3333
(844) 278-8636
Mailing address
PO BOX 167, CRESTED BUTTE, CO 81224-0167
(970) 349-3333
(844) 278-8636
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38507
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14857804
—
CO
Enumeration date
08/09/2005
Last updated
03/27/2018
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