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Dr. Ian Christopher Sanford, DO
Military Health Care Provider in Dyess Afb, Texas
NPI 1861994766

Ian Christopher Sanford is a Military Health Care Provider based in Jbsa Lackland, TX. Ian Christopher Sanford practices in Dyess Afb, TX and has the professional credentials of DO. The NPI Number for Ian Christopher Sanford is 1861994766 and holds a License No. 2099 (Texas).

The current practice location address for Ian Christopher Sanford is 697 Louisiana Rd, Dyess Afb, TX and can be reached out via phone at 803-493-0038.

Location: 697 Louisiana Rd, Dyess Afb, TX, 78236-9908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861994766
Provider Name
Ian Christopher Sanford
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
697 Louisiana Rd, Dyess Afb, TX, 78236-9908
Phone Number
803-493-0038
Fax Number
Provider Enumeration Date
03/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
697 Louisiana Rd
City
Dyess Afb
State
Texas
Zip
79607-1141
Phone Number
803-493-0038
Fax Number
person
Provider Business Mailing Address Details
Address
697 Louisiana Rd
City
Dyess Afb
State
Texas
Zip
79607-1141
Phone Number
803-493-0038
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
2099 (Nebraska)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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