Male or Other

Eric Sandoval MD

Family Medicine Physician in Tulsa, OK(View on Map)

Full Name

Eric Sandoval MD

NPI Number

1003178013

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/14/2012

Specialties

(Taxonomies)

Code

207Q00000X
207QS0010X

Primary Taxonomy

Yes
No

Licenses

State

New Mexico
New Mexico
Oklahoma

License Number

MD2014-0755
RS2012-0466
32151

Contact
Information

Purpose

Mailing
Location

Address

2450 S TELSHOR BLVD
1111 SOUTH ST.LOUIS AVE

City

Las Cruces
Tulsa

State

NM
OK

Postal Code

88011-5069
74120-5440

Country

US
US

Telephone Number

(575) 521-5385
(918) 619-3395

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/24/2016

Provider Address

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