Individual
THOMAS CLAYTON SANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
207 E F ST, OKEENE, OK 73763-9441
(580) 822-4337
Mailing address
PO BOX 489, OKEENE, OK 73763-0489
(580) 822-4417
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4476
OK
Other
Enumeration date
11/12/2020
Last updated
01/13/2021
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