Susan M Sandridge

NPI #1801008289 in Pocatello, Idaho

Provider Information

NPI Number: 1801008289
Entity Type: Organization
Organization Name: Susan M Sandridge
Primary Specialty: Case Management
Enumeration Date: May 5, 2007
Last Updated: Jul 23, 2008

Practice Location

Address: 1255 E WHITMAN
City: Pocatello
State: Idaho
ZIP Code: 83201-5748
Phone: (208) 233-4748

Authorized Official

Name: MRS. SUSAN M SANDRIDGE, BFA
Title: OWNER
Phone: (208) 233-4748

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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