Individual
SCOTT J. SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2419 NEW HOLT RD, PADUCAH, KY 42001-7455
(270) 845-4301
(270) 845-4301
Mailing address
2419 NEW HOLT RD, PADUCAH, KY 42001-7455
(270) 845-4300
(270) 845-4301
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
40629
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100007440
—
KY
Enumeration date
12/29/2006
Last updated
05/31/2023
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