Sanford, Dominic Emmanuel

Sanford, Dominic Emmanuel is an individual health care provider with primary practice located at 11155 Dunn Rd Div Surg Hpb, Ste 108N, Saint Louis MO 63136-6150. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Sanford, Dominic Emmanuel can be contacted via phone (314) 747-0410.

Contact Information

Primary practice address
11155 Dunn Rd Div Surg Hpb, Ste 108N Saint Louis MO 63136-6150
Phone: (314) 747-0410
Fax: (877) 991-8954
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 2011012606 Missouri
Allopathic & Osteopathic Physicians / Surgery 208600000X 2011012606 Missouri

Profile Details

NPI number 1013182120
LBN Legal business name Sanford, Dominic Emmanuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2008
Last updated Apr 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013182120 NPPES
Missouri MEDICAID 200003351

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