Individual
TIMOTHY SCOTT SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1875 W FRYE RD STE 300, CHANDLER, AZ 85224-6184
(480) 763-5808
(480) 759-0647
Mailing address
4530 E MUIRWOOD DR, STE 110, PHOENIX, AZ 85048-7693
(480) 763-5808
(480) 759-0647
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
50308
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334948
—
AZ
Enumeration date
05/05/2011
Last updated
12/12/2018
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