Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE SANDERS, DO
ActiveBLAKE SANDERS, DO is a Dermatology healthcare provider located in MOORESVILLE, North Carolina. NPI 1972962710 is currently active in the NPPES registry. Verify at CMS.
Dermatology · MOORESVILLE, NC
Registration Details
- NPI Number
- 1972962710
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2016 (10.48413643069 yrs)
- Last Updated
- Dec 29, 2021
- Licenses
-
OS020540 (PA)2021-03162 (NC)
Practice Information
- Address
-
170 MEDICAL PARK RD STE 203MOORESVILLE, NC, 281178540Browse NC providers · Browse ZIP 28117
- Phone
- 9805502400
- Fax
- 9805502424
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in MOORESVILLE, NC
| Name | Credential | NPI |
|---|---|---|
| STEVEN FREDERICK WOLFE | MD | 1528047404 |
| DR. JOEL H SUGARMAN | MD | 1720039399 |
| DR. MICHAEL J REDMOND | M.D. | 1043350531 |
| DR. NAOMI SOROOSH SIMON | MD | 1831218031 |
| SARAH HOLLYN CARLOCK | MD | 1518462241 |
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.