Individual
ROBERT L SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 MINOR AVE, STE 200, SEATTLE, WA 98104-2120
(206) 386-9615
(206) 576-3807
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00015437
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0145782
MONTANA MEDICAID
WA
05
—
1622505
—
WA
01
—
756101220
RR MEDICARE
WA
01
—
78903
L & I
WA
Enumeration date
09/27/2005
Last updated
03/29/2016
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