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Contact Information

SUSAN F. SANDERS MD PROFESSIONAL CORPORATION
3649 MAIN AVE
DURANGO, CO81301-4030
 Phone: 970-375-1707
 Fax: 970-382-9518
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for SUSAN F. SANDERS MD PROFESSIONAL CORPORATION

NPI # 1629362249
LBN Legal business name SUSAN F. SANDERS MD PROFESSIONAL CORPORATION
Authorized official SUSAN SANDERS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/31/2011
Last updated 01/31/2012 - About 14 years ago
Identifiers
CO License # 28524
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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