Provider Demographics
NPI:1508524596
Name:SANDAGER, ANN
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:SANDAGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14400 BOGERT PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-2659
Mailing Address - Country:US
Mailing Address - Phone:844-346-7366
Mailing Address - Fax:
Practice Address - Street 1:13710 OXFORD DR
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-9780
Practice Address - Country:US
Practice Address - Phone:405-406-8353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-07
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist