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Contact Information

JEFFREY S SANDERS, MD
3501 A WEST TRUMAN BLVD.
JEFFERSON CITY, MO65109
 Phone: 573-636-0635
 Fax: 573-659-4685
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JEFFREY S SANDERS · (Male)

NPI Number 1407843139
Status Active
Credentials MD
Entity Individual
Enumeration date 09/27/2005
Last updated 06/17/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • MO License # R5J50
  • MO Medicaid 203209507
  • MO Other 110045598 RAILROAD MEDICARE
Hospital affiliation(s)
  • CAPITAL REGION MEDICAL CENTER - (Acute Care)
    1125 MADISON ST
    JEFFERSON CITY, MO 65102
  • ST MARYS HEALTH CENTER - (Acute Care)
    100 ST MARY'S MEDICAL PLAZA
    JEFFERSON CITY, MO 65101
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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