Layne C. Sandridge in Glendale - Vascular Surgery
Layne C. Sandridge - NPI 1063689909
Layne C. Sandridge is a Vascular Surgery in Glendale, Arizona. Layne C. Sandridge practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Layne C. Sandridge is 1063689909. The last update date is 2019-01-04.
Layne C. Sandridge's current location address is 19801 N 59th Ave Unit 11659, Glendale, Arizona. You can contact this provider via phone number 6236885075 and fax number 6236885075. The mailing address for Layne C. Sandridge is 19801 N 59th Ave Unit 11659, Glendale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Layne C. Sandridge |
|---|---|
| Address | 19801 N 59th Ave Unit 11659, Glendale, Arizona |
| Phone Number | 6236885075 |
| Fax Number | 6236885075 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1063689909 |
|---|---|
| Provider Enumeration Date | 2008-05-09 |
| Last Updated Date | 2019-01-04 |
Provider Mailing Address Detail
| Address | 19801 N 59th Ave Unit 11659 |
|---|---|
| City | Glendale |
| State | Arizona (AZ) |
| Post Code | 853185068 |
| Phone Number | 6236885075 |
| Fax Number | 6236885075 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 40861 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 398159 | AZ | -- | |
| Z216660 | AZ | MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Layne C. Sandridge?
The Layne C. Sandridge has been issued the NPI (National Provider Identifier) 1063689909 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Layne C. Sandridge located?
The Layne C. Sandridge is located at 19801 N 59Th Ave Unit 11659, Glendale, AZ 853185068.
What is the area of specialization for Layne C. Sandridge, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Layne C. Sandridge is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0129X.
On what date was the 1063689909 assigned to Layne C. Sandridge?
The Layne C. Sandridge was issued its 1063689909 on 2008-05-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Layne C. Sandridge's information last updated?
The Layne C. Sandridge's information was last updated on 2019-01-04.