Individual
ROBERT L SANFORD
Active
Individual
ROBERT L SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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