Donald E Sanford JR., PA

NPI #1710537964 in Caldwell, Idaho

Provider Information

NPI Number: 1710537964
Entity Type: Individual
Name: Donald E Sanford JR., PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 18, 2019
Last Updated: Sep 18, 2019

Practice Location

Address: 4815 CLEVELAND BLVD
City: Caldwell
State: Idaho
ZIP Code: 83605-6501
Phone: (208) 455-3545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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