Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 101072 | CA |
NPI | 1104018720 |
---|---|
Provider Name | Dr. Timothy Andrew Sanders |
First Address | San Francisco, CA 94143-2208 |
Second Address | San Francisco, CA 94143-2208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2007 |
Last Update Date | 16/08/2007 |