Individual
MR. GERALD LEE SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
455 SAINT MICHAELS DR, OB UNIT, SANTA FE, NM 87505-7601
(505) 820-5554
(505) 820-5440
Mailing address
455 SAINT MICHAELS DR, OB UNIT, SANTA FE, NM 87505-7601
(505) 820-5554
(505) 820-5440
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R29253
NM
Other
Enumeration date
08/04/2006
Last updated
07/01/2008
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