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Individual

SCOTT K SANDERS

Active
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Individual

SCOTT K SANDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01045654
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000507081
ANTHEM
IN
01
10019219
ENCORE
IN
05
200375760
IN
Enumeration date
06/10/2005
Last updated
09/13/2011
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