Jg Sanford LLC

NPI #1912094566 in Clinton, Missouri

Provider Information

NPI Number
1912094566
Entity Type
Organization
Organization Name
Jg Sanford LLC
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 6, 2006
Last Updated
May 1, 2019

Practice Location

Address
1602 N 2ND ST
ZIP Code
64735
Phone
(660) 885-2020

Authorized Official

Name
DR. EARLE GLENN SANFORD, M.D.
Title
MANAGING PARTNER
Phone
(660) 885-8171

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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