Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JIM CLARK SANDERS, D.O.
ActiveJIM CLARK SANDERS, D.O. is a Family Medicine healthcare provider located in DE SOTO, Missouri. NPI 1689608291 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · DE SOTO, MO
Registration Details
- NPI Number
- 1689608291
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2006 (19.921760216445 yrs)
- Last Updated
- Jul 26, 2010
- Licenses
-
MD2799 (AK)2009024604 (MO)
Practice Information
- Address
-
12 JEFFERSON SQDE SOTO, MO, 630201031Browse MO providers · Browse ZIP 63020
- Phone
- 6365866685
- Fax
- 6365862780
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in DE SOTO, MO
| Name | Credential | NPI |
|---|---|---|
| STEVEN CRAWFORD | DO | 1548266737 |
| MRS. ANGELA FAYE AMES POWERS | FNP-BC | 1417123282 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.