Individual
DR. DAVID GREGORY SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
238 CHESTNUT ST, ST MARYS, PA 15857-1708
(814) 834-7240
(814) 781-6581
Mailing address
238 CHESTNUT ST, ST MARYS, PA 15857-1708
(814) 834-7240
(814) 781-6581
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC004253L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016017850007
—
PA
Enumeration date
07/07/2005
Last updated
06/19/2008
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