Healthcare Provider Details

I. General information

NPI: 1881510675
Provider Name (Legal Business Name): DAVID WILLIAM SANDERS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6440 E BROADWAY BLVD
TUCSON AZ
85710-3504
US

IV. Provider business mailing address

2022 E 6TH ST # 222
TUCSON AZ
85719-5227
US

V. Phone/Fax

Practice location:
  • Phone: 520-881-0827
  • Fax:
Mailing address:
  • Phone: 810-382-6110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberLAC-012299
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: