Provider Demographics
NPI:1760620926
Name:SANDERS, DAVID BRADFORD JR (MS, CCP)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:BRADFORD
Last Name:SANDERS
Suffix:JR
Gender:M
Credentials:MS, CCP
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Mailing Address - Street 1:350 W. THOMAS RD
Mailing Address - Street 2:ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER ATTN: CATH LAB
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-0000
Mailing Address - Country:US
Mailing Address - Phone:602-406-5194
Mailing Address - Fax:602-798-0311
Practice Address - Street 1:350 W. THOMAS RD.
Practice Address - Street 2:ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER, ATTN: CATH LA
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-0000
Practice Address - Country:US
Practice Address - Phone:602-406-5194
Practice Address - Fax:602-798-0311
Is Sole Proprietor?:No
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes242T00000XTechnologists, Technicians & Other Technical Service ProvidersPerfusionist