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NPI Code Detail

MEDICARE: JOHN CARL SANDERS MD

MEDICARE: JOHN CARL SANDERS MD
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
1207L00000XAnesthesiology Physician2000-101NM

General Provider Information

NPI Number : 1801803853
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN CARL SANDERS MD
Provider Business Mailing Address
First Line : SHRINERS HOSPITALS FOR CHILDREN SALT
Second Line : DEPT 5034
City : LOS ANGELES
State : CA
Zip : 90084-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 933 BRADBURY DR SE STE 2222
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87106-4375
Country : US
Telephone Number : 505-272-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2006
Last Update Date : 04/03/2019

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