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Individual

MR. BRYAN DAVID SANDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3812 PHEASANT LN, WATERLOO, IA 50701-5200
(319) 236-3444
(319) 236-0257
Mailing address
3812 PHEASANT LN, WATERLOO, IA 50701-5200
(319) 236-3444
(319) 236-0257

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
02896
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0151738
IA
01
070010603
RR MDCR
IA
Enumeration date
04/18/2006
Last updated
07/19/2022
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