Individual
JUSTIN C SANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 268-5000
(316) 291-4272
Mailing address
PO BOX 2897, WICHITA, KS 67201-2897
(800) 374-5326
(800) 374-7656
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0535487
KS
207L00000X
Anesthesiology Physician
DO2077
TN
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
0535487
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200869340A
—
KS
Enumeration date
06/11/2007
Last updated
06/06/2025
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