Individual
DR. ROBERT E. SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
32316 S HICKORY DR, COOKSON, OK 74427-2054
(479) 462-7203
Mailing address
PO BOX 189, COOKSON, OK 74427-0189
(479) 462-7203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2024043455
MO
207R00000X
Internal Medicine Physician
3050
OK
207R00000X
Internal Medicine Physician
E-0137
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110106795
RR MEDICARE
—
05
—
1203050
—
OK
05
—
125567003
—
AR
Enumeration date
01/13/2006
Last updated
01/20/2025
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