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DR. MICHAEL SANDERS M.D.

Physicians Radiology Body Imaging

Provider NPI: 1063538544

Provider Information:
DR. MICHAEL  SANDERS M.D.
Gender: M
Not Sole Proprietor

Practice Location:
5495 S RAINBOW BLVD STE 101  LAS VEGAS, NV 89118-1872 US
Tel: 702-228-0031  Fax: 702-228-7253

Business Mailing Address:
PO BOX 30077  SALT LAKE CITY, UT 84130-0077 US
Tel: 702-477-0772  Fax: 702-477-0486

NPI Information:
NPI: 1063538544
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N2085B0100XPhysicians
Radiology
Body Imaging
MI4301100083
Y2085R0202XPhysicians
Radiology
NV16433

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 2085R0202X

Type:

Classification:



Definition:



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