Individual
DR. EARLE GLENN SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
1065725A
IN
207W00000X
Ophthalmology Physician
Primary
2011001499
MO
207W00000X
Ophthalmology Physician
20730
NE
207W00000X
Ophthalmology Physician
734054
TN
Other
Enumeration date
02/23/2006
Last updated
10/20/2022
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