BRIAN R SANDOVAL

PUEBLO, CO
NPI1467457028
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: CO  35181)
Enumeration Date2005-06-20
Last Update Date2007-11-06
Business Address
-- BRIAN R SANDOVAL MD
400 W 16TH ST
PUEBLO, CO 81003-2745
Phone number: 719-584-4420
Mailing Address
-- BRIAN R SANDOVAL MD
1218 N MAIN ST
PUEBLO, CO 81003-2828
Phone number: 719-543-7877
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