Individual
MR. DWIGHT EARL SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
15 WYNTRE BROOKE DR, YORK, PA 17403-4509
(717) 741-9444
Mailing address
106 E RIVER RD, MIFFLINTOWN, PA 17059-7852
(410) 913-4659
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
R098563
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
UP001943C
PA
Other
Enumeration date
03/15/2007
Last updated
03/21/2011
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