Individual
DR. MIGUEL I SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909
(719) 365-5000
(719) 365-6827
Mailing address
PO BOX 173891, DENVER, CO 80217-3891
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR.0060555
CO
207R00000X
Internal Medicine Physician
BP10042717
TX
208000000X
Pediatrics Physician
BP10042717
TX
208000000X
Pediatrics Physician
RS2013-0525
NM
Other
Enumeration date
04/03/2012
Last updated
08/17/2018
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