Individual
PETER D SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
651 W MARION RD, MOUNT GILEAD, OH 43338-1027
(419) 949-3049
Mailing address
L-3549, COLUMBUS, OH 43260-0001
(740) 383-7927
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35052004
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0594816
—
OH
Enumeration date
05/16/2006
Last updated
02/19/2014
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