Individual
DR. SANDRA VOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2D MEDICAL GROUP, 243 CURTISS ROAD, SUITE 100, BARKSDALE AFB, LA 71110-2425
(318) 456-6555
Mailing address
2D MEDICAL GROUP, 243 CURTISS ROAD, SUITE 100, BARKSDALE AFB, LA 71110-2425
(318) 456-6555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
025112
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1423645
—
LA
01
—
4Q455F600
MEDICARE - PTAN
LA
Enumeration date
05/19/2006
Last updated
10/25/2023
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