Provider Demographics
NPI:1326035908
Name:TERP, SANDRA L (MD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:L
Last Name:TERP
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:480 CENTRAL AVE
Mailing Address - Street 2:NAVAL MEDICAL CLINIC-ATTN KANEOHE PEDIATRICS
Mailing Address - City:PEARL HARBOR
Mailing Address - State:HI
Mailing Address - Zip Code:96860-4908
Mailing Address - Country:US
Mailing Address - Phone:808-257-5041
Mailing Address - Fax:
Practice Address - Street 1:NAVY MEDICAL CLINIC-BMC K-BAY; ATTN;PEDS DR. TERP
Practice Address - Street 2:480 CENTRAL AVE
Practice Address - City:PEARL HARBOR
Practice Address - State:HI
Practice Address - Zip Code:96860-4908
Practice Address - Country:US
Practice Address - Phone:808-257-5041
Practice Address - Fax:808-257-5653
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIHI-3871208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics