Individual
ANTHONY E SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 S THOMPSON ST, FLAGSTAFF, AZ 86001-8759
(928) 226-6400
Mailing address
13460 N 94TH DR STE J1, PEORIA, AZ 85381-4264
(623) 876-8816
(623) 298-0168
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
21578
AZ
207RC0000X
Cardiovascular Disease Physician
CDR.0005272
CO
207RI0011X
Interventional Cardiology Physician
21578
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198144
—
AZ
01
—
P01225076
RAILROAD MEDICARE
AZ
Enumeration date
06/29/2005
Last updated
04/17/2026
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