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Organization

SANDRA C. FOOTE MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SANDRA C. FOOTE MD (OWNER)
(302) 422-4056
Entity
Organization

Contact information

Practice address
310 MULLET RUN, MILFORD, DE 19963-5371
(302) 422-4056
(302) 422-4156
Mailing address
PO BOX 1186, MILFORD, DE 19963-5086
(302) 422-4056
(302) 422-4156

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C1-0002091
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000080702
DE
Enumeration date
10/25/2007
Last updated
10/25/2007
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