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NPI Code Detail

MEDICARE: RICHARD J. SANDELL M.D.

MEDICARE: RICHARD J. SANDELL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianMD20596OR

General Provider Information

NPI Number : 1467484261
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD J. SANDELL M.D.
Provider Business Mailing Address
First Line : 6516 RIVER RD S
Second Line :
City : SALEM
State : OR
Zip : 97306-9754
Country : US
Telephone Number : 503-838-4637
Fax Number : 801-487-8197
Provider Business Practice Location Address
First Line : 675 E 2100 S
Second Line : STE 390
City : SALT LAKE CITY
State : UT
Zip : 84106-1887
Country : US
Telephone Number : 800-366-1884
Fax Number : 866-360-6021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2006
Last Update Date : 07/08/2007

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