Healthcare Provider Details

I. General information

NPI: 1043410186
Provider Name (Legal Business Name): BRYAN J SANDLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2007
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3838 N CAMPBELL AVE BLDG 2, 3RD FLOOR, CLINIC H
TUCSON AZ
85719-1454
US

IV. Provider business mailing address

BANNER - UNIVERSITY MEDICAL CENTER 1625 N. CAMPBELL AVE.
TUCSON AZ
85719
US

V. Phone/Fax

Practice location:
  • Phone: 520-694-8888
  • Fax: 520-694-7851
Mailing address:
  • Phone: 520-626-4705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA99837
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number81266
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: