Healthcare Provider Details

I. General information

NPI: 1942257027
Provider Name (Legal Business Name): PIERO FRANCIS SANDRI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32014 LITTLE BOSTON RD NE
KINGSTON WA
98346-9734
US

IV. Provider business mailing address

10334 NE BEACH CREST DR
BAINBRIDGE ISLAND WA
98110-1390
US

V. Phone/Fax

Practice location:
  • Phone: 360-297-2840
  • Fax: 360-297-7052
Mailing address:
  • Phone: 206-842-8262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number00019655
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: