Individual
THOMAS SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5328 CYPRESS ST, WEST MONROE, LA 71291-7506
(318) 966-1640
(318) 966-1641
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(318) 966-1640
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
343333
LA
207Q00000X
Family Medicine Physician
68734
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2020
Last updated
08/22/2024
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