DR. Terry H. Sanderson, O.D.

NPI #1427099258 in Soda Springs, Idaho

Provider Information

NPI Number: 1427099258
Entity Type: Individual
Name: DR. Terry H. Sanderson, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 10, 2006
Last Updated: Jan 9, 2008

Practice Location

Address: 380 S 3RD W
City: Soda Springs
State: Idaho
ZIP Code: 83276-1559
Phone: (208) 547-2114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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